DYBREAK BEHAVIORAL HEALTHCARE (NPI# 1730251844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730251844 |
| Entity Type | Organization |
| Organization Name | DYBREAK BEHAVIORAL HEALTHCARE |
| Other Organization Name | DAYBREAK BEHAVIORAL MEDICINE |
| Practice Address |
117 West 200 South Farmington UT 84025-1036 |
| Mailing Address |
Po Box 1036 117 West 200 South Farmington UT 84025-1036 |
| Practice Telephone | 8014514843 |
| Practice Fax Number | 8014512839 |
| Mailing Telephone | 8014514843 |
| Mailing Fax Number | 8014512839 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. STAN FILLMORE (BUSINESS ADMINISTRATOR) |
| Authorized Official Telephone | 8014514843 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Daybreak Behavioral Medicine | Doing Business As Name - Organization |
| Street Address |
117 WEST 200 SOUTH |
| City | FARMINGTON |
| State | UT |
| Zip Code | 84025-1036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780785329 | Stan M Fillmore | Social Worker | 117 West 200 South, Farmington, UT 84025-1036 | 2006-09-26 |
| 1134202161 | Martha Carol Mattsson | Clinical Nurse Specialist | 117 West 200 South, Daybreak Behavioral Medicine, Farmington, UT 84025-1036 | 2006-10-23 |
| 1124129739 | Julianne Kemp Arbuckle | Psychologist | 117 West 200 South, Farmington, UT 84025-1036 | 2006-09-26 |
| 1346341971 | Geraldine Oka Matsumura | Registered Nurse | 117 West 200 South, Farmington, UT 84025-1036 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522200 | Kim Nguyen | Behavior Technician | 1148 N Wilow Wind Rd Unit 9, Farmington, UT 84025 | 2020-09-14 |
| 1164980181 | Adam Thomas Creer | Nurse Practitioner | 696 N 40 E Apt 2, Farmington, UT 84025 | 2019-03-08 |
| 1881100550 | Lindsay Case | Counselor | 1645 W 1440 N, Farmington, UT 84025 | 2017-12-18 |
| 1447707955 | Joseph Daniel Levie | Chiropractor | 63 N. Main Street, Farmington, UT 84025 | 2016-09-01 |
| 1649724139 | University of Utah Adult Services | Dermatology | 165 N. University Ave. Farmington, Farmington, UT 84025 | 2016-08-12 |
| 1679931075 | Rhodes Physical Therapy, Inc | Clinic/Center | 722 W. Shepard Lane Suite 105, Farmington, UT 84025 | 2016-02-01 |
| 1760847552 | Polished Holdings, Inc. | Specialist | 491 W. Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-12-21 |
| 1568833911 | Ageless Men's Health Holdings, LLC | Specialist | 491 West Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-10-12 |
| 1588053300 | Onsyte Surgical of Nevada, LLC | Clinic/Center | 1262 S 650 W Suite 1d, Farmington, UT 84025 | 2015-01-16 |
| 1568879872 | Laura Cook | Counselor | 1200 West Red Barn Lane, Farmington, UT 84025 | 2014-07-18 |
| Find all providers in zip 84025 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013520428 | Deborah Jean Robinson | Counselor | 3300 N Butler Ave Ste 220, Farmington, NM 87401-2342 | 2020-08-25 |
| 1023620762 | Andrew James Maihos | Counselor | 7 Maple St, Farmington, NH 03835-3714 | 2020-08-22 |
| 1730798448 | Rylee Morris | Counselor | 37 Road 1639, Farmington, NM 87401-9614 | 2020-07-28 |
| 1467070128 | Sonsee'rae Dolores Sells | Counselor | 3209 Crestridge Dr, Farmington, NM 87401-9332 | 2020-07-09 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1427609627 | Kristi Lynn Kinsella | Counselor | 95 Bowerman Rd, Farmington, NY 14425-7021 | 2019-09-27 |
| 1154987527 | Loren Goldstein | Counselor | 5940 Kennebec Ct, Farmington, NY 14425-8801 | 2019-05-11 |
| 1710465794 | Denise Jennifer Huegler | Counselor | 11 Road 5387, Farmington, NM 87401-1505 | 2018-08-01 |
| 1881181790 | Robin L Shahverdian LLC | Counselor | 304 Main St Ste D428, Farmington, CT 06032 | 2018-04-16 |
| 1508309303 | Barbara Lindell | Counselor | 1542 Sainte Genevieve Ave, Farmington, MO 63640-3454 | 2016-11-28 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 84025 |
Please comment or provide details below to improve the information on DYBREAK BEHAVIORAL HEALTHCARE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.