Active NPI
Eldie Dagame Daep
- Mental Health Counselor
- Novato, CA
National Provider Identifier
1710712476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 225400000X
- Practice address
- 201 Alameda del Prado Ste 103
Novato, CA 94949-6698 - Phone
- (415) 457-6964
- NPI assigned
- Sep 3, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 225400000X | CA | Primary |
Addresses
Primary practice location
201 Alameda del Prado Ste 103
Novato, CA 94949-6698
Mailing address
201 Alameda del Prado Ste 103
Novato, CA 94949-6698
Phone (415) 457-6964
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225400000X | CA | MD | Rehabilitation Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1710712476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 ALAMEDA DEL PRADO STE 103",
"city": "NOVATO",
"state": "CA",
"postal_code": "949496698",
"telephone_number": "415-457-6964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 ALAMEDA DEL PRADO STE 103",
"city": "NOVATO",
"state": "CA",
"postal_code": "949496698",
"telephone_number": "415-457-6964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAEP",
"first_name": "ELDIE",
"middle_name": "DAGAME",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-09-03",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "225400000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.