BREAKTHROUGH DEVELOPMENTAL SERVICES, LLC (NPI# 1033594916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033594916 |
| Entity Type | Organization |
| Organization Name | BREAKTHROUGH DEVELOPMENTAL SERVICES, LLC |
| Practice Address |
5416 16th Ave Hyattsville MD 20782-3444 |
| Practice Telephone | 8552555270 |
| Practice Fax Number | 8555131069 |
| Mailing Telephone | 8552555270 |
| Mailing Fax Number | 8555131069 |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2015-07-21 |
| Authorized Official Name | BARBARA ERBY-YOUNG (PRESIDENT) |
| Authorized Official Telephone | 8552555270 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | LBA076 | MD | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 1338048-00 | 05 |
| Street Address |
5416 16TH AVE |
| City | HYATTSVILLE |
| State | MD |
| Zip Code | 20782-3444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093369456 | Stephanie A Caruso | Behavior Technician | 5416 16th Ave, Hyattsville, MD 20782-3444 | 2019-07-24 |
| 1366961401 | Marie E Druckenmiller | Behavior Technician | 5416 16th Ave, Hyattsville, MD 20782-3444 | 2017-09-10 |
| 1578080933 | Samanta Anne Cole | Behavior Technician | 5416 16th Ave, Hyattsville, MD 20782-3444 | 2017-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712254 | Covenant Cosmetic & Wellness Center | Clinic/Center | 3415 Hamilton Street, Suite 5, Hyattsville, MD 20782 | 2020-08-26 |
| 1174146807 | Scort Achah | Home Health Aide | 2572 Queens Chapel Road, #4, Hyattsville, MD 20782 | 2020-05-28 |
| 1679130215 | Kla Vision, P.C. | Optometrist | 3500 East-west Highway, Hyattsville, MD 20782 | 2019-05-20 |
| 1417431677 | Visurraga Enterprises LLC | Nurse Anesthetist, Certified Registered | 4112 E West Hwy, Hyattsville, MD 20782 | 2018-09-24 |
| 1134605876 | Melinda Merricks | Behavioral Analyst | 5901 31st Ave, Apt. 203, Hyattsville, MD 20782 | 2018-07-16 |
| 1457849093 | Prince George's County Health Department | Clinic/Center | 7000 Adelphi Road, Hyattsville, MD 20782 | 2018-04-30 |
| 1922527134 | Amenan Marie Paule Yao | Home Health Aide | 7009 Highview Ter Apt 202, Hyattsville, MD 20782 | 2017-09-19 |
| 1558886358 | Emilia Domingez De Urena | Home Health Aide | 6700 Belcrest Road, Hyattsville, MD 20782 | 2017-08-14 |
| 1184176851 | Prince George's Hospital Center | Student in an Organized Health Care Education/Training Program | 3500 Dean Drive, Apt K3, Hyattsville, MD 20782 | 2016-10-28 |
| 1992257927 | Johanna Arias-bonilla | Social Worker | 2970 Belcrest Center Drive Unit 301, Hyattsville, MD 20782 | 2016-10-25 |
| Find all providers in zip 20782 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144832171 | Wells Aba LLC | Community/Behavioral Health | 1810 Jasmine Ter, Hyattsville, MD 20783-4549 | 2020-08-20 |
| 1659754091 | Change Reaction | Community/Behavioral Health | 607 Tweed Way, Hyattsville, MD 20785-5905 | 2015-07-02 |
| 1962717553 | Contemporary Family Services | Community/Behavioral Health | 6525 Belcrest Rd Ste 300, Hyattsville, MD 20782-2063 | 2010-08-09 |
| 1487274601 | Absolute Care Inc | Community/Behavioral Health | 7515 Annapolis Rd Ste 409, Hyattsville, MD 20784-1752 | 2020-04-17 |
| 1578182945 | Absolute Care Inc | Community/Behavioral Health | 7515 Annapolis Rd Ste 409, Hyattsville, MD 20784-1752 | 2020-04-15 |
| 1447758743 | Ab3 Health Services | Community/Behavioral Health | 6475 New Hampshire Ave Ste 504f, Hyattsville, MD 20783-3277 | 2018-02-01 |
| 1316473549 | Synergy Family Services | Community/Behavioral Health | 1425 University Blvd E, Suite 265, Hyattsville, MD 20783-4618 | 2017-05-09 |
| 1720526940 | Contemporary Family Services, Inc | Community/Behavioral Health | 6525 Belcrest Rd, Suite G40, Hyattsville, MD 20782-2003 | 2017-02-08 |
| 1396293205 | Family Behavioral Services, LLC | Community/Behavioral Health | 6475 New Hampshire Ave, Suite 650, Hyattsville, MD 20783-3269 | 2016-09-20 |
| 1366897225 | Prince George's County Health Department | Community/Behavioral Health | 1401 University Blvd E, Hyattsville, MD 20783-4029 | 2016-04-28 |
| Find all providers in HYATTSVILLE | ||||
| City | HYATTSVILLE |
| Zip Code | 20782 |
Please comment or provide details below to improve the information on BREAKTHROUGH DEVELOPMENTAL SERVICES, 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.