Organization Active NPI

Bayside Breakthrough Psychology

  • Adult Mental Health Clinic/Center
  • Apollo Beach, FL
National Provider Identifier
1730953308
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
BAYSIDE BREAKTHROUGH PSYCHOLOGY
Practice address
152 Mangrove Manor Dr
Apollo Beach, FL 33572-3552
Phone
(727) 496-8480
NPI assigned
Nov 14, 2023
Last updated
Mar 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Nicole Biondoletti, PSYDNPI 1811542053
Title
Owner
Phone
(305) 393-2574

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
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

152 Mangrove Manor Dr
Apollo Beach, FL 33572-3552

Mailing address

152 Mangrove Manor Dr
Apollo Beach, FL 33572-3552
Phone (727) 496-8480

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1730953308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 MANGROVE MANOR DR",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335723552",
            "telephone_number": "727-496-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 MANGROVE MANOR DR",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335723552",
            "telephone_number": "727-496-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSIDE BREAKTHROUGH PSYCHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "BIONDOLETTI",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-393-2574",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apollo Beach, FL

Sources for this page

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