MS. KRISTIN A. PHILLIPS-MATSON


Address: 100 W El Camino Real, Suite 74b, Mountain View, CA 94040-2664
Phone: 8313259168

MS. KRISTIN A. PHILLIPS-MATSON (NPI# 1083072722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083072722
Entity Type Individual
Full Name MS. KRISTIN A. PHILLIPS-MATSON
Credential L.P.C.C.
Practice Address 100 W El Camino Real
Suite 74b
Mountain View
CA 94040-2664
Mailing Address 1373 Ridgewood Dr
San Jose
CA 95118-2937
Practice Telephone 8313259168
Mailing Telephone 8313259168
Enumeration Date 2016-02-09
Last Update Date 2016-02-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
663 CA Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
663 CA Behavioral Health & Social Service Providers
N 101YS0200X Counselor
Specialization: School
130139844 CA Behavioral Health & Social Service Providers
N 103K00000X Behavioral Analyst 663 CA Behavioral Health & Social Service Providers

Office Location

Street Address 100 W EL CAMINO REAL
SUITE 74B
City MOUNTAIN VIEW
State CA
Zip Code 94040-2664

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NPI Name Taxonomy Address Enumeration
1578576716 William S Hall Dentist 100 W El Camino Real, Ste 63a, Mountain View, CA 94040 2006-08-15
1780246330 Emily Yang Tovar Dentist 100 W El Camino Real, Mountain View, CA 94040-2664 2019-07-03
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1013252972 Lin & Huang-gao Dental, Inc. Dentist 100 W El Camino Real, Suite 78, Mountain View, CA 94040-2664 2012-12-04
1487902821 Reveal Diagnostics, LLC Radiology 100 W El Camino Real, Suite 63b, Mountain View, CA 94040-2664 2012-08-15
1679692198 Nita Chainani-wu Dentist 100 W El Camino Real, 76, Mountain View, CA 94040-2664 2007-03-28
1932226719 Timothy Chenghsien Wu Dentist 100 W El Camino Real, Suite #76, Mountain View, CA 94040-2664 2007-03-25
1740315944 Harise Caron Stein Obstetrics & Gynecology 100 W El Camino Real, Suite 65, Mountain View, CA 94040-2664 2007-02-21
1134269541 Kelley R. Parke Counselor 100 W El Camino Real, Suite 74b, Mountain View, CA 94040-2664 2007-02-07
1134202302 Pedram Malek Dentist 100 W El Camino Real, Suite # 74a, Mountain View, CA 94040-2664 2006-10-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1871141945 Cindy Crystal Wong Nurse Practitioner 2630 West El Camino Real, Mountain View, CA 94040 2019-08-30
1003471129 Jennifer Langsdorf Royer Marriage & Family Therapist 1059 El Monte Avenue, Suite B, Mountain View, CA 94040 2019-05-03
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1750861522 Kelby Katz Counselor 575 S Rengstorff Ave Apt 80, Mountain View, CA 94040 2018-08-20
1861982472 David Young Lee Counselor 870 E El Camino Real, Mountain View, CA 94040 2018-05-18
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1750861522 Kelby Katz Counselor 575 S Rengstorff Ave Apt 80, Mountain View, CA 94040 2018-08-20
1306222401 Jessica Elizabeth-rose Carroll Counselor 11-3059 Plumeria Street, Mountain View, HI 96771-1570 2015-07-31
1184030264 Reut Shani Counselor 950 High School Way, Mountain View, CA 94041-1912 2014-07-09
1790102978 Mari Mooncook Counselor 1301 Brook Pl, Mountain View, CA 94040-3908 2014-03-25
1215234646 Ed Trinidad Naranjo Counselor 1084 Wentworth St Apt 9, Mountain View, CA 94043-4654 2011-02-21
1407039571 Maor Katz Counselor 2660 Solace Pl Ste A, Mountain View, CA 94040-4337 2007-12-12
1881747939 Nancy Hancock Hayward Counselor 234 Escuela Ave, Mountain View, CA 94040-1877 2007-01-20
1922166842 Gabriele - Hilberg Counselor 1669 Gretel Ln, Mountain View, CA 94040-3706 2006-12-04
1922088848 Susan Cb Matinchek Counselor 113 North Peabody, Suite B, Mountain View, AR 72560 2006-01-18
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Competitor

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City MOUNTAIN VIEW
Zip Code 94040

Improve Information

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Dataset Information

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.

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