PHILLIP REASON (NPI# 1184233652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184233652 |
| Entity Type | Individual |
| Full Name | PHILLIP REASON |
| Practice Address |
12 Southern Ave Dorchester MA 02124-2012 |
| Practice Telephone | 6177080870 |
| Mailing Telephone | 6177080870 |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
12 SOUTHERN AVE |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02124-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851692370 | Lakisha R Austin | Social Worker | 12 Southern Ave, Dorchester, MA 02124 | 2010-11-15 |
| 1912532383 | Matthew Flynn | Student in an Organized Health Care Education/Training Program | 12 Southern Ave, Dorchester, MA 02124-2012 | 2020-03-06 |
| 1902431455 | Ashley Wilfand | Counselor | 12 Southern Ave, Dorchester, MA 02124-2012 | 2020-03-05 |
| 1134754617 | Lily Decky | Student in an Organized Health Care Education/Training Program | 12 Southern Ave, Dorchester, MA 02124-2012 | 2020-03-05 |
| 1346875762 | Mathieu Mcneil | Social Worker | 12 Southern Ave, Dorchester, MA 02124-2012 | 2020-03-05 |
| 1033744578 | Meredith White-goode | Student in an Organized Health Care Education/Training Program | 12 Southern Ave, Dorchester, MA 02124-2012 | 2020-03-05 |
| 1447885017 | Emmanuel Nigel Omere | Case Manager/Care Coordinator | 12 Southern Ave, Dorchester, MA 02124-2012 | 2020-03-04 |
| 1265067896 | Alain Davis | Case Manager/Care Coordinator | 12 Southern Ave, Dorchester, MA 02124-2012 | 2020-03-04 |
| 1144855818 | Jacob Ford Perry | Psychologist | 12 Southern Ave, Dorchester, MA 02124-2012 | 2020-03-03 |
| 1770054751 | Cori Jamal Williams | Social Worker | 12 Southern Ave, Dorchester, MA 02124-2012 | 2018-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109599 | Yolanda Barner | Behavioral Analyst | 241 Norfolk St, Dorchester, MA 02124 | 2020-03-23 |
| 1144878489 | Marissa Sneed | Case Manager/Care Coordinator | 1059 Tremont St Suit 2, Roxbury Crossing, ME 02124 | 2019-08-29 |
| 1407413487 | Adrian Velasquez Md LLC | Internal Medicine | 2110 Dorchester Ave Ste 205, Seton Building, Dorchester, MA 02124 | 2019-05-24 |
| 1164908794 | Genesis 365 Care LLC | Home Health Aide | 114 Fuller St # 1, Dorchester, MA 02124 | 2018-07-17 |
| 1821581422 | Prince Nwaford | Psychologist | 176 Harvard Street, 2, Boston, MA 02124 | 2018-06-08 |
| 1073026753 | Massachusetts Chiropractic Center LLC | Chiropractor | 879-881 Blue Hill Avenue, Dorchester, MA 02124 | 2017-11-16 |
| 1770096620 | Aly Tran | Behavior Technician | 232 Centre St, Dorchester, MA 02124 | 2017-11-14 |
| 1326564386 | Mildred R Gomez | Community Health Worker | 108 Norfolk St, Dorchester, MA 02124 | 2017-08-21 |
| 1871025585 | Dwight Dorcy | Assistant Behavior Analyst | 7 Samoset St # 3, Dorchester, MA 02124 | 2017-03-31 |
| 1346793452 | Jennie Lee | Nurse Practitioner | 425 Harvard St, Dorchester, MA 02124 | 2016-07-26 |
| Find all providers in zip 02124 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356957849 | Alaa Khoja | Student in an Organized Health Care Education/Training Program | 66 Beach Point Pl Apt 506, Dorchester, MA 02125-3559 | 2020-09-20 |
| 1508388091 | Nicole Alison Schick | Student in an Organized Health Care Education/Training Program | 50 Redfield St Ste 306, Dorchester, MA 02122-3653 | 2017-07-17 |
| 1841734449 | Mario Alejandro Molina Condal | Student in an Organized Health Care Education/Training Program | 107 Neponset Ave, Unit #2, Dorchester, MA 02122-3323 | 2016-12-15 |
| 1447673058 | Ann Marie Kennedy | Student in an Organized Health Care Education/Training Program | 33 Whitman St, 1r, Dorchester, MA 02124-4428 | 2014-02-03 |
| 1326487539 | Jessica Andrade | Student in an Organized Health Care Education/Training Program | 50 Redfield St Fl 3, Dorchester, MA 02122-3630 | 2013-06-20 |
| 1104164680 | Casey Martins | Student in an Organized Health Care Education/Training Program | 88 Nightingale St, Dorchester, MA 02124-1706 | 2013-01-18 |
| 1295045607 | Daniel Noel | Student in an Organized Health Care Education/Training Program | 28 Doris St, Dorchester, MA 02125-1426 | 2010-10-19 |
| 1114258209 | Brandon Patrick Harris | Student in an Organized Health Care Education/Training Program | 19 Sudan St # 2, Dorchester, MA 02125-1319 | 2010-01-29 |
| 1114251709 | Monique M Roumo | Student in an Organized Health Care Education/Training Program | 31 Longfellow St, Apt. 3, Dorchester, MA 02122-1507 | 2009-09-29 |
| 1417575390 | Melissa Anne Bloom | Student in an Organized Health Care Education/Training Program | 50 Redfield St, Dorchester, MA 02122-3630 | 2020-07-08 |
| Find all providers in DORCHESTER | ||||
| City | DORCHESTER |
| Zip Code | 02124 |
Please comment or provide details below to improve the information on PHILLIP REASON.
| 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.