Breaking Free From Trauma, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

BREAKING FREE FROM TRAUMA, LLC

Practice address

1516 Peck Street
Muskegon Mi 49441
Muskegon, MI 49441

Phone

(231) 335-0952

NPI assigned

Aug 22, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Donna Florence Lamar, PHDNPI 1053388413

Title

Psychologist/Owner

Phone

(231) 335-0952

Specialties & licenses 1

Addresses

Other names 1

• Donna LaMar Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donna F Lamar, PHD

  • Clinical Psychologist
  • Muskegon, MI
  • NPI 1053388413
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1639898968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3196 FENNER RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494451826",
            "telephone_number": "231-335-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 PECK STREET",
            "address_2": "MUSKEGON MI 49441",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "49441",
            "telephone_number": "231-335-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKING FREE FROM TRAUMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "LAMAR",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "FLORENCE",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "231-335-0952",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Donna LaMar",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Donna LaMar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacquelynn Joanne Brady
• Ashley Anne Brage
• Mathew J Brakora, MD
• Joel Allan Braman, M.D.
• Ryan Christopher Leon Brandt, DO
• Lindsey Joy Breimayer, PHARM. D
• Paul Breithaupt
• Courtney Breitwisch
• Nicholas Bremer
• Nancy F Brenneman, M.D.

• Psychologist in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.