Breakthrough Psychotherapy, Llo

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BREAKTHROUGH PSYCHOTHERAPY, LLO

Doing business as

Dr

Practice address

570 West Frontage Road
Suite 370
Northfield, IL 60093

Phone

(773) 322-1363

NPI assigned

Aug 21, 2024

Last updated

Aug 21, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Andrea Goddard, PSY.DNPI 1861845224

Title

Psychologist, Owner

Phone

(773) 677-7960

Specialties & licenses 1

Addresses

Other names 1

• Dr Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrea Goddard, PSY.D

  • Psychologist
  • Baltimore, MD
  • NPI 1861845224
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1417780925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 W. FRONTAGE ROAD",
            "address_2": "SUITE 370",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "60093",
            "telephone_number": "773-322-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 WEST FRONTAGE ROAD",
            "address_2": "SUITE 370",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "60093",
            "telephone_number": "773-322-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHROUGH PSYCHOTHERAPY, LLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "GODDARD",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PSYCHOLOGIST, OWNER",
        "authorized_official_telephone_number": "773-677-7960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ellie Boushie, LSW
• Mary Bowers
• Erin Shea Brady
• Kristen Braman
• Jacqulyn Braxton
• Joshua Breger, DPT
• Marianne B Brennan
• Amy Briggs, MA, CCC-SLP
• Chloe Brodner, MA
• Amanda Elizabeth Brown

• Community/Behavioral Health Agency in Northfield, IL
• Providers in Northfield, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.