MR. ROBERT PHILLIPS (NPI# 1023282654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023282654 |
| Entity Type | Individual |
| Full Name | MR. ROBERT PHILLIPS |
| Credential | MASTERS/RAS |
| Practice Address |
419 Pennsylvania St Vallejo CA 94590-6933 |
| Practice Telephone | 7076432715 |
| Practice Fax Number | 7076438536 |
| Mailing Telephone | 7076432715 |
| Mailing Fax Number | 7076438536 |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
P0412151238 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598307936 | Robert Phillips | Licensed Vocational Nurse | 674 Meherrin Rd, South Hill, VA 23970-6522 | 2019-10-16 |
| 1588179295 | Robert L Phillips | Massage Therapist | 13380 Route 30 Ste 5, N Huntingdon, PA 15642-1125 | 2017-12-05 |
| 1487085262 | Robert E Phillips IIi | Behavioral Analyst | 4092 Memorial Pkwy Sw Ste 105, Huntsville, AL 35802-4365 | 2013-12-04 |
| 1700152600 | Robert Wesley Phillips | Counselor | 818 Coopertown Rd, Unionville, TN 37180-8731 | 2012-03-26 |
| 1568736452 | Robert Owen Phillips | Social Worker | 1311 Highland Rd, Roswell, NM 88201-2144 | 2012-02-24 |
| 1114255676 | Robert Conrad Phillips | Chiropractor | 23900 Clearing Rd, Harrisonville, MO 64701-4410 | 2009-11-20 |
| 1851598791 | Robert E Phillips | Dentist | 201 Dallas Ave, Weatherford, TX 76086 | 2007-07-02 |
| 1427175959 | Robert Ronder Phillips | Counselor | 2125 Glenwood St, Kannapolis, NC 28083-3042 | 2007-03-22 |
| 1245363811 | Robert Levorn Phillips | Dentist | 9822 Ne 23rd St, Oklahoma City, OK 73141-4208 | 2007-03-13 |
| 1558431262 | Robert A Phillips | Dentist | 11740 Olio Road, Suite 100, Fishers, IN 46037 | 2006-11-09 |
| Street Address |
419 PENNSYLVANIA ST |
| City | VALLEJO |
| State | CA |
| Zip Code | 94590-6933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699221945 | Dewight Edwin Wilson | Counselor | 419 Pennsylvania St, Vallejo, CA 94590-6933 | 2016-08-28 |
| 1861865529 | Helder Bartolomeu | Counselor | 419 Pennsylvania St, Vallejo, CA 94590-6933 | 2015-11-03 |
| 1063885994 | Jeffery Barnes | Counselor | 419 Pennsylvania St, Vallejo, CA 94590-6933 | 2015-10-30 |
| 1366814998 | Southern Solano Alcohol Council | Community/Behavioral Health | 419 Pennsylvania St, Vallejo, CA 94590-6933 | 2015-10-22 |
| 1083888341 | Patricia A Banks | Counselor | 419 Pennsylvania St, Vallejo, CA 94590-6933 | 2008-04-17 |
| 1326212051 | Bi-bett | Substance Abuse Rehabilitation Facility | 419 Pennsylvania St, Vallejo, CA 94590-6933 | 2008-04-14 |
| 1205000965 | Joseph Louis Ferdin | Counselor | 419 Pennsylvania St, Vallejo, CA 94590-6933 | 2008-04-14 |
| 1962676684 | Carol Louise Roberts | Counselor | 419 Pennsylvania St, Vallejo, CA 94590-6933 | 2008-04-14 |
| 1659564623 | Gary John Dillahunty | Counselor | 419 Pennsylvania St, Vallejo, CA 94590-6933 | 2007-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265051445 | Jaspreet Bains | Licensed Vocational Nurse | 508 Alabama Street, Vallejo, CA 94590 | 2020-04-08 |
| 1467097527 | Deneane Hannon | Behavioral Analyst | 238 Georgia St. Ste 102, Vallejo, CA 94590 | 2019-11-13 |
| 1780243196 | Abla Harara Almoraissi | Health Educator | John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 | 2019-06-10 |
| 1891264461 | Brian Emory Kellogg | Marriage & Family Therapist | 525 Oregon St., Php/iop, Vallejo, CA 94590 | 2018-11-13 |
| 1952801862 | Carica Theresa Saraza Macariola | Specialist/Technologist | 1007 Solano Avenue, Vallejo, CA 94590 | 2018-02-16 |
| 1770007973 | Deborah A Johnson-white | Licensed Vocational Nurse | 908 Tuolumne, Vallejo, CA 94590 | 2017-07-29 |
| 1306378260 | Edgar Diaz | Counselor | 236 Georgia Street Suite 101, Vallejo, CA 94590 | 2017-03-30 |
| 1528440096 | Soren Perry | Counselor | 236 Georgia St., Vallejo, CA 94590 | 2015-06-22 |
| 1518366327 | Kimberly A Holland | Counselor | 631 Tennessee Street Suite 201, Vallejo, CA 94590 | 2014-08-18 |
| 1841605193 | Lawana Lofton | Psychologist | 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 | 2014-06-25 |
| Find all providers in zip 94590 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067850 | Rachel Rix | Counselor | 201 Maine St Apt D3, Vallejo, CA 94590-5817 | 2020-09-11 |
| 1841845500 | Raelynn Ila Irene Foster | Counselor | 401 Stinson St Apt 8, Vallejo, CA 94591-6416 | 2019-08-08 |
| 1770145252 | Kennisha Allen | Counselor | 285 Larissa Ln, Vallejo, CA 94590-7601 | 2019-07-03 |
| 1972068203 | William Paul Mcdougall Iv | Counselor | 2521 Alameda St, Vallejo, CA 94590-2403 | 2019-01-31 |
| 1740754019 | Loren Cluke | Counselor | 116 El Dorado St, Vallejo, CA 94590-6945 | 2019-01-18 |
| 1194232827 | Kimberley Marie Matthews | Counselor | 117 Power Dr Apt B, Vallejo, CA 94589-3418 | 2018-01-03 |
| 1316477664 | Matthew Friend Ausfahl | Counselor | 1628 Broadway St Ste A, Vallejo, CA 94590-2405 | 2017-06-19 |
| 1467802926 | Ronald Gensler | Counselor | 1109 Porter St Apt B, Vallejo, CA 94590-7909 | 2016-06-15 |
| 1881040418 | Nathan Hill | Counselor | 1313 Colusa St, Vallejo, CA 94590-3332 | 2016-05-12 |
| 1851750764 | Shauntell Hudson | Counselor | 112 Basalt Dr, Vallejo, CA 94589 | 2016-02-19 |
| Find all providers in VALLEJO | ||||
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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.