Organization Active NPI

Break the Cycle Psychotherapy & Consulting Corporation D.P.

  • Psychologist
  • Bloomfield, NJ
National Provider Identifier
1700626249
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
BREAK THE CYCLE PSYCHOTHERAPY & CONSULTING CORPORATION D.P.
Practice address
21 Lexington Ave
Bloomfield, NJ 07003-5715
Phone
(201) 515-3269
NPI assigned
May 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Authorized official

Name
Mariel Buque, PHDNPI 1679952733
Title
Owner
Phone
(407) 212-7768

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

21 Lexington Ave
Bloomfield, NJ 07003-5715

Mailing address

21 Lexington Ave
Bloomfield, NJ 07003-5715

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769126400000",
    "number": "1700626249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LEXINGTON AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LEXINGTON AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035715",
            "telephone_number": "201-515-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAK THE CYCLE PSYCHOTHERAPY & CONSULTING CORPORATION D.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-31",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A",
        "authorized_official_last_name": "BUQUE",
        "authorized_official_first_name": "MARIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-212-7768",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; 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.