NPIMap

Individual provider Active NPI

Breton Asken, PHD, ATC

  • Clinical Psychologist
  • Gainesville, FL
National Provider Identifier
1902531353
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY11512 Issued in FL
Practice address
3009 SW Williston Rd
Gainesville, FL 32608-3928
Phone
(352) 294-5400
NPI assigned
Jul 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY11512 FL
Clinical Psychologist 103TC0700X PY11512 FL Primary

Addresses

Primary practice location

3009 SW Williston Rd
Gainesville, FL 32608-3928

Mailing address

PO Box 100165 University of Florida - College of PHHP
Gainesville, FL 32610-0001
Phone (352) 273-6617

Other identifiers 3

IdentifierTypeStateIssuer
BOC220124OtherNATIONAL ATHLETIC TRAINERS' ASSOCIATION BOARD OF CERTIFICATION
PY11512OtherFLSTATE OF FLORIDA DEPARTMENT OF HEALTH
116325900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221010001699 FL Practitioner - Clinical Psychologist 0941686257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1329 SW 16TH St
Gainesville, FL 32608-1128

PO Box
Gainesville, FL 32610

Hospital & facility affiliations

  • Uf Health Shands Hospital Hospital, Gainesville, FL, CCN 100113

Merit-based Incentive Payment System (MIPS)

Final score
69.27 of 100Reported as group
Quality
95.72
Promoting interoperability
0
Improvement activities
40
Cost
78.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Health Professions Association, Inc. Clinical CurrentSince Aug 1, 2022 Accepting new patients
Florida Health Professionals Association Inc CurrentSince Aug 1, 2022 Accepting new patients

Locations

1600 SW Archer Rd
Rm G901
Gainesville, FL 32610
Phone (352) 265-0294

3009 SW Williston Rd
Gainesville, FL 32608
Phone (352) 294-5400

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1902531353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100165 UNIVERSITY OF FLORIDA - COLLEGE OF PHHP",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100001",
            "telephone_number": "352-273-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 SW WILLISTON RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326083928",
            "telephone_number": "352-294-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASKEN",
        "first_name": "BRETON",
        "name_prefix": "Dr.",
        "credential": "PHD, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-20",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY11512",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY11512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL ATHLETIC TRAINERS' ASSOCIATION BOARD OF CERTIFICATION",
            "identifier": "BOC220124",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "PY11512",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116325900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.