NPIMap

Organization Active NPI

Dybreak Behavioral Healthcare

  • Mental Health Counselor
  • Farmington, UT
National Provider Identifier
1730251844
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DYBREAK BEHAVIORAL HEALTHCARE
Doing business as
Daybreak Behavioral Medicine
Practice address
117 West 200 South
Farmington, UT 84025-1036
Phone
(801) 451-4843
Fax
(801) 451-2839
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Stan Fillmore, LCSWNPI 1780785329
Title
Business Administrator
Phone
(801) 451-4843

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

117 West 200 South
Farmington, UT 84025-1036

Mailing address

PO Box 1036
117 West 200 South
Farmington, UT 84025-1036
Phone (801) 451-4843

Other names 1

  • Daybreak Behavioral Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

117 W 200 S
Farmington, UT 84025
Phone (801) 451-4843

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730251844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1036",
            "address_2": "117 WEST 200 SOUTH",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840251036",
            "telephone_number": "801-451-4843",
            "fax_number": "801-451-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 WEST 200 SOUTH",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840251036",
            "telephone_number": "801-451-4843",
            "fax_number": "801-451-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYBREAK BEHAVIORAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FILLMORE",
        "authorized_official_first_name": "STAN",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "801-451-4843",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daybreak Behavioral Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.