Cathartic Breakthroughs, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CATHARTIC BREAKTHROUGHS, LLC

Practice address

1000 Lafayette Blvd
Bridgeport, CT 06604-4725

Phone

(203) 296-3345

NPI assigned

Jul 3, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Shanika Rucker, LCSW

Title

Member/Owner

Phone

(203) 296-3345

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1770145286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5313",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066100313",
            "telephone_number": "203-296-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LAFAYETTE BLVD",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066044725",
            "telephone_number": "203-296-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHARTIC BREAKTHROUGHS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "RUCKER",
        "authorized_official_first_name": "SHANIKA",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "203-296-3345",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberto J Castellon-Teran, LCSW
• Luis Alejandro Castellon Jr., BS
• Jairo Castillo, MD
• Karla Castillo
• Simon Andres Castro Montenegro, MD
• Catholic Charities of Fairfield County, Inc.
• Catholic Charities of Fairfield County, Inc.
• Catholic Charities of Fairfield County, Inc.
• Lynda Kay Catuccio, PT
• Michael John Cavaliere, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.