MICHAEL PHILLIPS JR. (NPI# 1013312578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013312578 |
| Entity Type | Individual |
| Full Name | MICHAEL PHILLIPS JR. |
| Practice Address |
11 Ward St Ste 200 Somerville MA 02143-4214 |
| Practice Telephone | 6176296790 |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2014-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | S97347966 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770001380 | Michael Alan Phillips I | Social Worker | 2017 Jefferson Street, Roanoke, VA 24014 | 2017-09-03 |
| 1902299530 | Michael Thomas Phillips | Pharmacist | 2005 Maple Street, Rome, GA 30161 | 2015-03-06 |
| 1790035707 | Michael Kenneth Phillips | Military Health Care Provider | 623 Pusan Dr, Oceanside, CA 92058-8149 | 2012-09-17 |
| 1992099600 | Michael Zachary Phillips | Emergency Medicine | 175 Cheney Ave, Harpers Ferry, WV 25425-6343 | 2011-05-31 |
| 1689970535 | Michael G. Phillips | Military Health Care Provider | 2621 Las Brisas St, Corpus Christi, TX 78414-5014 | 2011-02-09 |
| 1750437265 | Michael Phillips | Counselor | 506 Ne Thompson St, Portland, OR 97212-3843 | 2007-01-26 |
| 1730234709 | Michael Phillips | Specialist | 9253 Hermosa Ave, Ste C, Rancho Cucamonga, CA 91730-5854 | 2007-01-23 |
| 1699845974 | Michael Stuart Phillips | Internal Medicine | 545 1st Ave, Nyu Medical Center, Greenberg Hall, Room Sc-132, New York, NY 10016-6401 | 2006-11-08 |
| 1225124837 | Michael Phillips | Chiropractor | 34734 Vine St, Willowick, OH 44095-5120 | 2006-10-04 |
| 1063520294 | Michael Newton Phillips | Physical Therapist | 3451 Goodman Rd E Ste 108, Southaven, MS 38672 | 2006-08-28 |
| Street Address |
11 WARD ST STE 200 |
| City | SOMERVILLE |
| State | MA |
| Zip Code | 02143-4214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861860579 | Megan Griffiths | Counselor | 11 Ward St Ste 200, Somerville, MA 02143-4214 | 2015-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245843598 | Sidney Marie Joines | Counselor | New Washington St, Somerville, MA 02143 | 2020-08-26 |
| 1487295887 | Tejasvini Goud Jangam | Dentist | 14 Mcgrath Highway Twin City Plaza, Somerville, MA 02143 | 2019-10-07 |
| 1265900658 | Latoya Lewis | Massage Therapist | 343 Medford Street Suite 4b, Somerville, MA 02143 | 2018-11-05 |
| 1982181053 | Robert Lafollette | Social Worker | 61 Inner Belt Rd, Somerville, MA 02143 | 2018-07-23 |
| 1013405471 | Roseli De Fatima Schimanski | Acupuncturist | 10 Clark St #3, Somerville, MA 02143 | 2018-05-01 |
| 1255840070 | Maggie Kinser | Counselor | 366 Somerville Avenue, Somerville, MA 02143 | 2017-09-25 |
| 1497273742 | Isabelle Hackett | Social Worker | 17 Inner Belt Rd, Somerville, MA 02143 | 2017-09-07 |
| 1952824666 | Manuel Cantu | Counselor | 17 Inner Belt Road, Somerville, MA 02143 | 2017-07-25 |
| 1649710963 | Shakemia Shaw | Licensed Practical Nurse | 230 Highland Avenue, Somerville, MA 02143 | 2017-03-06 |
| 1245600501 | Libby Vilner | Social Worker | 12 Tyler St., Somerville, MA 02143 | 2015-09-30 |
| Find all providers in zip 02143 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477168417 | Ss Holdings, LLC | Counselor | 502 Flippin St, Somerville, TN 38068-1801 | 2020-09-15 |
| 1437799574 | Aliya M Gottehrer Cohen | Counselor | 19 Sewall St Apt 3r, Somerville, MA 02145-1959 | 2020-01-07 |
| 1952875312 | Cailin Mateleska | Counselor | 255 Elm St Ste 201, Somerville, MA 02144-2947 | 2019-01-17 |
| 1952824666 | Manuel Cantu | Counselor | 17 Inner Belt Road, Somerville, MA 02143 | 2017-07-25 |
| 1851708325 | Elizabeth Clark | Counselor | 52 Oxford St, Somerville, MA 02143-1608 | 2014-07-16 |
| 1902236359 | Prativa Bhatta | Counselor | 76 Cross St, Somerville, MA 02145 | 2013-11-21 |
| 1033480017 | Andrew W Bunyard | Counselor | 34 Calvin St, Unit 1, Somerville, MA 02143-4315 | 2012-01-23 |
| 1134401169 | Elizabeth Wright Crawford | Counselor | 28a Cherry St, Apt 1, Somerville, MA 02144-3204 | 2011-09-15 |
| 1699060939 | Brandon Michael Hager | Counselor | 39a Prescott St Apt 3, Somerville, MA 02143-1713 | 2011-06-15 |
| 1912213497 | Ryan Peterson | Counselor | 179 Morrison Ave, Somerville, MA 02144-2017 | 2010-08-23 |
| Find all providers in SOMERVILLE | ||||
| City | SOMERVILLE |
| Zip Code | 02143 |
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| 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.