Active NPIOrganization

Breakwater Psychiatry INC.

Clinic/Center, Health Services in Swampscott, Massachusetts

NPI Number1285330043
Practice location
440 Humphrey St, Swampscott, MA 01907-2574
Fax
—
Last updated
February 3, 2023

Breakwater Psychiatry INC. is a healthcare organization based in Swampscott, MA. Breakwater Psychiatry INC. practices in Swampscott, MA. The NPI Number for Breakwater Psychiatry INC. is 1285330043. The current practice location address for Breakwater Psychiatry INC. is 440 Humphrey St, Swampscott, MA 01907-2574 and can be reached out via phone at 781-205-9496.

Provider Profile Details

NPI Number
1285330043
Provider Name
Breakwater Psychiatry INC.
Provider Entity Type
Organization
Address
440 Humphrey St, Swampscott, MA 01907-2574
Phone Number
781-205-9496
Primary Taxonomy
Clinic/Center, Health Services · 261QH0100X
Organization Subpart
No
Authorized Official
Megan Ann Cavanaugh, NURSE PRACTITIONER · Owner · 781-205-9496
Provider Enumeration Date
February 3, 2023
Last Update Date
February 3, 2023
Certification Date
January 19, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
440 Humphrey St
Swampscott, MA 01907-2574
Zip
01907-2574
Phone Number
781-205-9496
Swampscott, MA 01907Get directions →

Provider Business Mailing Address Details

Address
17 Paradise Road
Vinnin Square Plaza #1021
Salem, MA 01970
City
Salem
State
MA
Zip
01970
Phone Number
781-205-9496

License Information

Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Taxonomy (3)
Clinic/Center, Health Services · 261QH0100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Breakwater Psychiatry INC.?

The NPI number of Breakwater Psychiatry INC. is 1285330043. It was assigned on February 3, 2023 and is currently active in the NPPES registry.

What is the specialty of Breakwater Psychiatry INC.?

Breakwater Psychiatry INC. is registered under the primary taxonomy Clinic/Center, Health Services (code 261QH0100X).

Where does Breakwater Psychiatry INC. practice?

The practice location is 440 Humphrey St, Swampscott, MA 01907-2574. The office can be reached at 781-205-9496 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1285330043 directly on the NPPES registry website.

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