Breakthrough Eclinic

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

BREAKTHROUGH ECLINIC

Practice address

6019 W Rio Grande Dr
Beverly Hills, FL 34465-2016

Phone

(523) 257-8843

NPI assigned

Aug 14, 2023

Last updated

Oct 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nathalie Grant, APRN

Title

Manager

Phone

(352) 325-7884

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1902589146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6019 W RIO GRANDE DR",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344652016",
            "telephone_number": "523-257-8843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6019 W RIO GRANDE DR",
            "city": "BEVERLY HILLS",
            "state": "FL",
            "postal_code": "344652016",
            "telephone_number": "523-257-8843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHROUGH ECLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "NATHALIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "352-325-7884",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bhavesh Bhakta
• Leena Binus
• Nona Elizabeth Boone, PH.D.
• Dianna Jean Borrmann, R.M.A.
• Azael P Borromeo, M.D.
• Laurie Ann Brothers
• Candy Gale Brown, L.M., CLS
• Bambi Burnette
• Dawn Calder
• Gelson Camargo, DDS

• Psychiatric/Mental Health Nurse Practitioner in Beverly Hills, FL
• Providers in Beverly Hills, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.