Organization · Type 2 NPI

Breakthrough Therapeutic Concepts, Llc.

Clinical Psychologist · Severna Park, MD

NPI number 1336769561 Active

Practice location

836 Ritchie Hwy Ste 12F
Severna Park, MD 21146-4133

Fax (410) 835-9612

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Psychologist Primary 103TC0700XNone listed
Clinical Child & Adolescent Psychologist 103TC2200XNone listed
Family Psychologist 103TF0000XNone listed
Psychoanalysis Psychologist 103TP0814XNone listed
Clinical Social Worker 1041C0700XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1336769561

Breakthrough Therapeutic Concepts, Llc.'s National Provider Identifier is 1336769561, issued on Apr 17, 2020. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Severna Park, MD. The record was last updated on Jul 25, 2025.