NPIMap

Organization Active NPI

Break the Cycle Behavioral Health LLC

  • Substance Abuse Rehabilitation Facility
National Provider Identifier
1982383386
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
BREAK THE CYCLE BEHAVIORAL HEALTH LLC
Practice address
3536 Virginia Ave
Baltimore, UNITED STATES 21215
VE
Phone
(410) 769-3255
NPI assigned
Jul 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Authorized official

Name
Chyrie Skipwith
Title
Ceo
Phone
(443) 851-5092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

3536 Virginia Ave
Baltimore, UNITED STATES 21215
VE

Mailing address

1301 York Road
Suite 800
Lutherville-Timonium, MD 21093
Phone (410) 769-3255

National Provider Directory

National Provider Directory
Tax ID family
Break the Cycle Behavioral Health LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1982383386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 YORK ROAD",
            "address_2": "SUITE 800",
            "city": "LUTHERVILLE-TIMONIUM",
            "state": "MD",
            "postal_code": "21093",
            "telephone_number": "410-769-3255"
        },
        {
            "country_code": "VE",
            "country_name": "Venezuela",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "3536 VIRGINIA AVE",
            "city": "BALTIMORE",
            "state": "UNITED STATES",
            "postal_code": "21215",
            "telephone_number": "410-769-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAK THE CYCLE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "SKIPWITH",
        "authorized_official_first_name": "CHYRIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-851-5092"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

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