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Breakaway, LLC

Psychiatry Physician in Topeka, KS · enumerated 2019 · authorized official Kerry Clemetson, Director of Billing/Credentialing.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1376181149

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Registry record

Entity type Organization (Type 2)
Legal business name Breakaway, LLC
Practice address 2023 Sw Gage Blvd, Topeka, KS, 66604
Fax (785) 329-5625
Enumeration date Dec 12, 2019
Last updated in NPPES Dec 12, 2019

Taxonomy & classification

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Kerry Clemetson
Title Director of Billing/Credentialing

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2019-12-12. Verify at npiregistry.cms.hhs.gov.
Where is Breakaway, LLC located?
The practice location on file with NPPES is in Topeka, KS.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-12-12.