Organization Active NPI

Daybreak Psychotherapy

  • Community/Behavioral Health Agency
  • Holland, MI
National Provider Identifier
1144752346
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6401014390 Issued in MI
Legal business name
DAYBREAK PSYCHOTHERAPY
Doing business as
Daybreak Mental Wellness
Practice address
3124 N Wellness Dr
Holland, MI 49424-8121
Phone
(616) 879-9965
Fax
(888) 408-3103
NPI assigned
Mar 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bethany Cramer
Title
Owner/ Therapist
Phone
(616) 879-9965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6401014390 MI Primary

Addresses

Primary practice location

3124 N Wellness Dr
Holland, MI 49424-8121

Mailing address

3124 N Wellness Dr
Holland, MI 49424-8121
Phone (616) 879-9965

Other names 1

  • Daybreak Mental Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

3124 N Wellness Dr
Holland, MI 49424
Phone (616) 209-8726

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1144752346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 N WELLNESS DR",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248121",
            "telephone_number": "616-879-9965",
            "fax_number": "888-408-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 N WELLNESS DR",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248121",
            "telephone_number": "616-879-9965",
            "fax_number": "888-408-3103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYBREAK PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "CRAMER",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "616-879-9965"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6401014390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daybreak Mental Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.