OrganizationActive
Broken By Violence
NPI 1700681822 · Community/Behavioral Health Agency · Fairfield, CA
Broken By Violence is a Community/Behavioral Health Agency organization in Fairfield, CA (NPI 1700681822).
Provider details
- NPI number
- 1700681822
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Ebony Antoine, Exceutive Director(209) 688-4614
Specialties & taxonomies
Agencies
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
840 E Travis Blvd Apt 308
Fairfield, CA 94533-5323
Phone: (209) 688-4614
Street-level locationGet directions
Mailing address
840 E Travis Blvd Apt 308
Fairfield, CA 94533-5323
Other names (DBA / former)
- Doing business as
- Broken By Violence
Registry dates
- Enumerated
- 2025-02-13
- Last updated
- 2025-02-13
- Certified
- 2025-02-13
Frequently asked questions
- What is Broken By Violence's NPI number?
- Broken By Violence's National Provider Identifier (NPI) is 1700681822, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broken By Violence?
- Broken By Violence is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Broken By Violence located?
- Broken By Violence's practice location on file with NPPES is 840 E Travis Blvd Apt 308, Fairfield, CA 94533-5323.
- What is Broken By Violence's phone number?
- The practice phone number listed in the NPPES registry for Broken By Violence is (209) 688-4614.
- Who is the authorized official for Broken By Violence?
- The authorized official listed on Broken By Violence's NPPES record is Ebony Antoine, Exceutive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broken By Violence's NPI active?
- Yes — Broken By Violence's NPI (1700681822) is active in the NPPES registry as of the last update on 2025-02-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.