BREAKTHROUGH BEHAVIORAL HEALTH SERVICES LLC (NPI# 1538760657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538760657 |
| Entity Type | Organization |
| Organization Name | BREAKTHROUGH BEHAVIORAL HEALTH SERVICES LLC |
| Practice Address |
5457 Twin Knolls Rd Ste 300 Columbia MD 21045-3296 |
| Practice Telephone | 4108550259 |
| Mailing Telephone | 4108550259 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Authorized Official Name | FRANCIS ODUAH (PMHNP) |
| Authorized Official Telephone | 4108550259 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
5457 TWIN KNOLLS RD STE 300 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21045-3296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538219167 | Wendy Carol Spencer-suprynowicz | Psychiatry & Neurology | 5457 Twin Knolls Rd Ste 300, Columbia, MD 21045-3259 | 2007-01-12 |
| 1760082713 | Harry Chauss | Acupuncturist | 5457 Twin Knolls Rd Ste 300, Columbia, MD 21045-3296 | 2020-10-29 |
| 1639786676 | Md Anesthesia Services LLC | Anesthesiology | 5457 Twin Knolls Rd Ste 300, Columbia, MD 21045-3296 | 2020-09-24 |
| 1972132264 | Wbmw Wellness Center LLC | Nurse Practitioner | 5457 Twin Knolls Rd Ste 300, Columbia, MD 21045-3296 | 2020-04-07 |
| 1174010136 | Tammy Spengler, Lcsw-c, LLC | Counselor | 5457 Twin Knolls Rd Ste 300, Columbia, MD 21045-3259 | 2018-04-16 |
| 1871090118 | Oakstride Physical Therapy, LLC | Clinic/Center | 5457 Twin Knolls Rd Ste 300, Columbia, MD 21045-3259 | 2018-04-12 |
| 1992216923 | Valyncia Graham | Counselor | 5457 Twin Knolls Rd Ste 300, Columbia, MD 21045 | 2017-10-17 |
| 1811121734 | Oluyemisi Adeola Kalejaiye | Physical Therapist | 5457 Twin Knolls Rd Ste 300, Columbia, MD 21045-3259 | 2009-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497374136 | Keenan Eldridge | Behavior Technician | 8950 Md-108, Suite 100, Columbia, MD 21045 | 2020-04-13 |
| 1730724220 | Luci Lee Redman Cassella | Family Medicine | 8900 Columbia 100 Parway Suite G, Columbia, MD 21045 | 2019-11-08 |
| 1417519414 | Howard County Health Department | Clinic/Center | Cradlerock Elementary School-based Wellness Center, 6700 Cradlerock Way, Columbia, MD 21045 | 2019-07-01 |
| 1649754490 | Dana Pirzchalski | Behavioral Analyst | 8815 Columbia Parkwary, 4, Columbia, MD 21045 | 2018-09-18 |
| 1871089177 | Melissa Jo Kennedy | Behavior Technician | 8815 Columbia Parkway, 4, Columbia, MD 21045 | 2018-07-10 |
| 1497246193 | Kjd | Physical Therapist | 8900 Columbia 100 Pkwy Ste C, Columbia, MD 21045 | 2018-05-29 |
| 1174010276 | Roger Lee | Audiologist | 8600 Snowden River Pkwy #309, Columbia, MD 21045 | 2018-04-16 |
| 1811497910 | Dominique Nichole Hale | Behavior Technician | 8115 Columbia 100 Parkway, Suite 4, Columbia, MD 21045 | 2018-02-15 |
| 1982116802 | Bradley D. Stiles | Acupuncturist | 6257 Deep River Cyn, Columbia, MD 21045 | 2017-11-01 |
| 1194234849 | University of Maryland Eye Associates, P.a. | Eyewear Supplier (Equipment, not the service) | 5900 Waterloo Road, Suite 230, Columbia, MD 21045 | 2017-09-26 |
| Find all providers in zip 21045 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215405782 | Lumos Counseling & Wellness Center | Clinic/Center | 5537 Twin Knolls Rd Ste 439, Columbia, MD 21045-3270 | 2018-11-02 |
| 1508235110 | Health Access 360, LLC | Clinic/Center | 4711 Forest Dr Ste 3-276, Columbia, SC 29206-3125 | 2015-09-24 |
| 1861875908 | Whetstone Valley Stables LLC | Clinic/Center | 3368 Murphy Ln, Columbia, TN 38401-5741 | 2015-07-07 |
| 1013292465 | University of Missouri Student Health Center | Clinic/Center | 1101 Hospital Drive Dc 800 00, Columbia, MO 65212-0001 | 2011-10-18 |
| 1982984365 | Reality House, Inc. | Clinic/Center | 1900 E Prathersville Rd, Columbia, MO 65202-9260 | 2011-08-17 |
| 1336387778 | Pollock Psychiatry LLC | Clinic/Center | 116 Belle Grove Cir, Columbia, SC 29229-8906 | 2009-01-22 |
| 1831797539 | New England Holistic Well-being Center LLC | Clinic/Center | 4 Doubleday Rd, Columbia, CT 06237-1405 | 2020-10-14 |
| 1932737624 | Maya Rake, Lisw-cp LLC | Clinic/Center | 2221 Bull St, Columbia, SC 29201-1901 | 2020-03-30 |
| 1942854021 | Bridgette Ratnam, LLC | Clinic/Center | 10015 Old Columbia Rd Ste B215, Columbia, MD 21046-1865 | 2019-07-28 |
| 1922500099 | Albert L. Crump, Lcsw, LLC | Clinic/Center | 3301 S Providence Rd Ste 101, Columbia, MO 65203-3624 | 2018-03-05 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.