CATHARTIC BREAKTHROUGHS, LLC (NPI# 1770145286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770145286 |
| Entity Type | Organization |
| Organization Name | CATHARTIC BREAKTHROUGHS, LLC |
| Practice Address |
1000 Lafayette Blvd Bridgeport CT 06604-4725 |
| Mailing Address |
Po Box 5313 Bridgeport CT 06610-0313 |
| Practice Telephone | 2032963345 |
| Mailing Telephone | 2032963345 |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2019-07-03 |
| Authorized Official Name | MS. SHANIKA RUCKER (MEMBER/OWNER) |
| Authorized Official Telephone | 2032963345 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
1000 LAFAYETTE BLVD |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06604-4725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972912129 | Andria Rodriguez | Marriage & Family Therapist | 1000 Lafayette Blvd, Bridgeport, CT 06604-4725 | 2014-08-12 |
| 1306468772 | Sharon Higgins | Health Educator | 1000 Lafayette Blvd, Bridgeport, CT 06604-4725 | 2020-05-08 |
| 1386144244 | Natasha Wright | Social Worker | 1000 Lafayette Blvd, Bridgeport, CT 06604-4725 | 2018-02-17 |
| 1104334366 | Denise Michelle Newton | Social Worker | 1000 Lafayette Blvd, Ste 1143, Bridgeport, CT 06604-4725 | 2018-01-22 |
| 1992251425 | Exceptional Home Care LLC | Home Health | 1000 Lafayette Blvd, Bridgeport, CT 06604-4725 | 2016-08-25 |
| 1700330446 | Park City Wellness Center, LLC | Counselor | 1000 Lafayette Blvd, Suite 1142, Bridgeport, CT 06604-4725 | 2016-08-11 |
| 1144695461 | White Rose Home Healthcare Agency | Home Health | 1000 Lafayette Blvd, Suite 1100, Bridgeport, CT 06604-4725 | 2015-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780163246 | Jill K Bebey | Pharmacist | 564 A Park Ave, Bridgeport, CT 06604 | 2018-08-07 |
| 1538663430 | Ryan Attar | Naturopath | 129 Columbia St, Bridgeport, CT 06604 | 2018-03-23 |
| 1487153375 | Fe Y Esperanza Home Care Services | Home Health | 2032 Main Street, Bridgeport, CT 06604 | 2018-02-06 |
| 1013423466 | Va.lu Able Home Care LLC | Registered Nurse | 1000 Lafayette Boulvard, Bridgeport, CT 06604 | 2017-12-21 |
| 1679970172 | Aarti Jawa | Dentist | 594 Pequonnoack Street, Bridgeport, CT 06604 | 2014-11-26 |
| 1932521473 | Anthony Santostefano | Dentist | 594 Pequonnock Street, Bridgeport, CT 06604 | 2014-01-18 |
| 1699011536 | Vanessa Frances Doyle | Naturopath | 115 Broad Street, C/o Center of Excellence, Bridgeport, CT 06604 | 2012-12-21 |
| 1942463302 | Joanna Conte Mcgary | Naturopath | 60 Lafayette Street, Naturopathic Medical Center University of Bridgeport, Bridgeport, CT 06604 | 2008-07-07 |
| 1346415221 | Jenna Lyn Blasi | Naturopath | 60 Lafayette, University of Bridgeport College of Naturopathic Medici, Bridgeport, CT 06604 | 2008-04-23 |
| 1275704462 | Watermark 3030 Park LLC | Skilled Nursing Facility | 3030 Park Ave, Bridgeport, CT 06604 | 2008-03-17 |
| Find all providers in zip 06604 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194069708 | Connecticut Renaissance, Inc. | Clinic/Center | 1126 Main St, Bridgeport, CT 06604-4404 | 2012-11-20 |
| 1316158256 | Chemical Abuse Services Agency, Inc. | Clinic/Center | 592 Kossuth St, Bridgeport, CT 06608-2204 | 2007-05-24 |
| 1225247224 | Chemical Abuse Services Agency, Inc. | Clinic/Center | 690 Arctic St, Bridgeport, CT 06608-2008 | 2007-05-22 |
| 1669537668 | Jewish Family Service, Inc. | Clinic/Center | 2370 Park Ave, Bridgeport, CT 06604-1617 | 2006-12-27 |
| 1922006923 | Lifebridge Community Services, Inc. | Clinic/Center | 475 Clinton Ave, Bridgeport, CT 06605-1700 | 2005-07-13 |
| 1023675873 | South- West Community Health Center, Inc | Clinic/Center | 1046 Fairfield Ave, Bridgeport, CT 06605-1116 | 2019-05-28 |
| 1518181965 | Catholic Charities of Fairfield County, Inc. | Clinic/Center | 238 Jewett Ave, Bridgeport, CT 06606-2845 | 2007-04-13 |
| 1720130362 | Connecticut Renaissance, Inc. | Clinic/Center | 1 Lafayette Cir, Bridgeport, CT 06604-6021 | 2007-01-16 |
| 1992871875 | Optimus Health Care | Clinic/Center | 471 Barnum Ave, Bridgeport, CT 06608-2409 | 2006-11-24 |
| 1699703686 | South- West Community Health Center, Inc | Clinic/Center | 46 Albion St, Bridgeport, CT 06605-2602 | 2006-06-29 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06604 |
Please comment or provide details below to improve the information on CATHARTIC BREAKTHROUGHS, LLC.
| 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.