Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Breakaway, LLC

Organization Psychiatry Physician · NPI 1376181149

Breakaway, LLC is a Psychiatry Physician in Topeka, Kansas. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2023 SW Gage Blvd
Topeka, KS 66604-3339
Phone: (785) 329-5344
Fax: (785) 329-5625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1376181149
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kerry Clemetson — Director Of Billing/Credentialing · (913) 475-7713
NPI enumeratedDecember 12, 2019
Last updated in NPPESDecember 12, 2019
Certification dateDecember 12, 2019
Mailing address2021 Vanesta Pl Ste D, Manhattan, KS 66503-0381

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