OrganizationActive
Breakaway, LLC
NPI 1376181149 · Psychiatry Physician · Topeka, KS
Breakaway, LLC is a Psychiatry Physician organization in Topeka, KS (NPI 1376181149).
Provider details
- NPI number
- 1376181149
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kerry Clemetson, Director of Billing/Credentialing(913) 475-7713
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2023 Sw Gage Blvd
Topeka, KS 66604-3339
Phone: (785) 329-5344
Fax: (785) 329-5625
Street-level locationGet directions
Mailing address
2021 Vanesta Pl Ste D
Manhattan, KS 66503-0381
Registry dates
- Enumerated
- 2019-12-12
- Last updated
- 2019-12-12
- Certified
- 2019-12-12
Frequently asked questions
- What is Breakaway, LLC's NPI number?
- Breakaway, LLC's National Provider Identifier (NPI) is 1376181149, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Breakaway, LLC?
- Breakaway, LLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Breakaway, LLC located?
- Breakaway, LLC's practice location on file with NPPES is 2023 Sw Gage Blvd, Topeka, KS 66604-3339.
- What is Breakaway, LLC's phone number?
- The practice phone number listed in the NPPES registry for Breakaway, LLC is (785) 329-5344.
- Who is the authorized official for Breakaway, LLC?
- The authorized official listed on Breakaway, LLC's NPPES record is Kerry Clemetson, Director of Billing/Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Breakaway, LLC's NPI active?
- Yes — Breakaway, LLC's NPI (1376181149) is active in the NPPES registry as of the last update on 2019-12-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.