Organization Active NPI

Insight Breakthrough, LP

  • Psychologist
  • Redwood City, CA
National Provider Identifier
1790475754
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
INSIGHT BREAKTHROUGH, LP
Practice address
1904 Whipple Ave
Redwood City, CA 94062-1928
Phone
(650) 400-7600
NPI assigned
May 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Authorized official

Name
Dr. Tyler Webster, PSY.D.
Title
Founder
Phone
(650) 400-7600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1904 Whipple Ave
Redwood City, CA 94062-1928

Mailing address

1904 Whipple Ave
Redwood City, CA 94062-1928
Phone (650) 400-7600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1790475754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 WHIPPLE AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621928",
            "telephone_number": "650-400-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 WHIPPLE AVE",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940621928",
            "telephone_number": "650-400-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT BREAKTHROUGH, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "WEBSTER",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "650-400-7600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.