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
- Last updated
- Dec 20, 2024
- 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
3455 Peachtree Rd NE
Fl 5
Atlanta, GA 30326
Phone (336) 312-6837
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, and the practitioner matching its NPPES authorized official.
-
- 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.