Breakthroughs Psychological Services, LLC
Organization Active NPI Clinical Psychologist · Crofton, MD
NPI 1497310676 · NPPES record last updated Jan 25, 2023
Key facts
- NPI
- 1497310676
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Legal business name
- BREAKTHROUGHS PSYCHOLOGICAL SERVICES, LLC
- Practice address
- 1641 Maryland RT 3 N Ste 201
Crofton, MD 21114-2464 - Phone
- (240) 267-4010
- NPI assigned
- May 3, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Renita Gabriel, PSY.D.
- Title
- Owner/Ceo
- Phone
- (240) 532-1353
Practitioners 1
-
Renita Cherise Gabriel, PSY.D.
National Provider Directory
Locations
1641 State Route 3 N
Ste 201
Crofton, MD 21114
Phone (240) 267-4010
4421 Forbes Blvd
Ste F
Lanham, MD 20706
Phone (240) 424-0078
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Clinical Psychologist |
103TC0700X | Yes |
Addresses
Primary practice location
1641 Maryland RT 3 N Ste 201
Crofton, MD 21114-2464
Mailing address
1641 Maryland RT 3 N Ste 201
Crofton, MD 21114-2464
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.