Active NPI
Daybreak Medical PA
- Mental Health Counselor
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- DAYBREAK MEDICAL PA
- Practice address
- 325 N Saint Paul St Ste 3100
Dallas, TX 75201-3923 - Phone
- (415) 992-6155
- Fax
- (650) 360-6913
- NPI assigned
- Jun 7, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Takashi Nakamura, MD
- Title
- Owner
- Phone
- (415) 992-6155
Specialties & licenses 12
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | Primary | ||
| Professional Counselor | 101YP2500X | |||
| Psychologist | 103T00000X | |||
| Counseling Psychologist | 103TC1900X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| Family Psychologist | 103TF0000X | |||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
325 N Saint Paul St Ste 3100
Dallas, TX 75201-3923
Mailing address
447 Sutter St Ste 405
San Francisco, CA 94108-4618
Phone (415) 992-6155
Other practice location 1
715 E 3900 S Ste 200D
Millcreek, UT 84107-2557
Phone (415) 992-6155
Other practice location 2
1431 Elizabeth Ave
Charlotte, NC 28204-2506
Phone (415) 992-6155
Other practice location 3
1455 NW Leary Way Ste 400
Seattle, WA 98107-5138
Phone (415) 992-6155
Other practice location 4
4445 Willard Ave Ste 600
Chevy Chase, MD 20815-3786
Phone (415) 992-6155
Other practice location 5
332 S Michigan Ave Ste 900
Chicago, IL 60604-4393
Phone (415) 992-6155
Other practice location 6
3455 Peachtree Rd NE Fl 5
Atlanta, GA 30326-3254
Phone (415) 992-6155
National Provider Directory
National Provider DirectoryLocations
4445 Willard Ave
Ste 600
Chevy Chase, MD 20815
Phone (202) 921-4287
1431 Elizabeth Ave
Charlotte, NC 28204
715 E 3900 S
Ste 200D
Millcreek, UT 84107
Practitioners & affiliated clinicians
Practitioners 16
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Charlotte, NC
- NPI 1699590778
-
- Clinical Social Worker
- Cleveland, OH
- NPI 1023581840
-
- Mental Health Counselor
- Puyallup, WA
- NPI 1730956566
-
- Clinical Psychologist
- Auburn, WA
- NPI 1205317211
Mental Health
-
- Marriage & Family Therapist
- Sausalito, CA
- NPI 1548663560
-
- Clinical Social Worker
- Vashon, WA
- NPI 1649932617
-
- Mental Health Counselor
- Charlotte, NC
- NPI 1174225189
-
- Mental Health Counselor
- Tacoma, WA
- NPI 1346715992
-
- Marriage & Family Therapist
- Charlotte, NC
- NPI 1093511487
-
- Mental Health Counselor
- Durham, NC
- NPI 1952440075
-
- Professional Counselor
- Greensboro, NC
- NPI 1730797937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734652800000",
"number": "1255060091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "447 SUTTER ST STE 405",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941084618",
"telephone_number": "415-992-6155",
"fax_number": "650-360-6913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 N SAINT PAUL ST STE 3100",
"city": "DALLAS",
"state": "TX",
"postal_code": "752013923",
"telephone_number": "415-992-6155",
"fax_number": "650-360-6913"
}
],
"practiceLocations": [
{
"address_1": "715 E 3900 S Ste 200D",
"address_purpose": "LOCATION",
"city": "Millcreek",
"state": "UT",
"postal_code": "841072557",
"country_code": "US",
"telephone_number": "415-992-6155",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1431 Elizabeth Ave",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282042506",
"country_code": "US",
"telephone_number": "415-992-6155",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1455 NW Leary Way Ste 400",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981075138",
"country_code": "US",
"telephone_number": "415-992-6155",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4445 Willard Ave Ste 600",
"address_purpose": "LOCATION",
"city": "Chevy Chase",
"state": "MD",
"postal_code": "208153786",
"country_code": "US",
"telephone_number": "415-992-6155",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "332 S Michigan Ave Ste 900",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606044393",
"country_code": "US",
"telephone_number": "415-992-6155",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3455 Peachtree Rd NE Fl 5",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303263254",
"country_code": "US",
"telephone_number": "415-992-6155",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DAYBREAK MEDICAL PA",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-07",
"last_updated": "2024-12-20",
"certification_date": "2024-12-20",
"status": "A",
"authorized_official_last_name": "NAKAMURA",
"authorized_official_first_name": "TAKASHI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "415-992-6155",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.