MRS. SHAYLA RICCHELE PHILLIPS (NPI# 1265049654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265049654 |
| Entity Type | Individual |
| Full Name | MRS. SHAYLA RICCHELE PHILLIPS |
| Other Name | MRS. SHAYLA RICCHELE PRESLEY |
| Practice Address |
109 S Harrill Ave Wagoner OK 74467-5317 |
| Mailing Address |
3036 S 214th St W Boynton OK 74422-5103 |
| Practice Telephone | 9184850242 |
| Mailing Telephone | 5392869624 |
| Enumeration Date | 2020-09-29 |
| Last Update Date | 2020-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
109 S HARRILL AVE |
| City | WAGONER |
| State | OK |
| Zip Code | 74467-5317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710007067 | Lisette Caveny | Student in an Organized Health Care Education/Training Program | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2007-03-30 |
| 1417560988 | Matthew Trent Soldier | Counselor | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2020-08-25 |
| 1447862578 | Courtney Kristine Sunderland | Social Worker | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2020-08-19 |
| 1164031704 | Jeremy Vanbrunt | Behavior Technician | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2020-07-29 |
| 1396363560 | Michael Dean Hutchings | Counselor | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2020-07-13 |
| 1396360640 | Jordan Marquett Presley I | Counselor | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2020-06-12 |
| 1730704149 | April C Price | Counselor | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2020-06-11 |
| 1487278420 | Maeghan Lee Jakubovitz | Counselor | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2020-06-05 |
| 1164044764 | Ashley M Wood | Counselor | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2020-05-18 |
| 1003436387 | Dayna Applegate | Case Manager/Care Coordinator | 109 S Harrill Ave, Wagoner, OK 74467-5317 | 2020-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982251591 | Alesha Lenard | Behavior Technician | 901 S. Harrill Ave, Wagoner, OK 74467 | 2019-08-20 |
| 1679030597 | Lorri Dawn Pitchford | Case Manager/Care Coordinator | Creoks Behavioral Health Services, 109 S Harrill Ave., Wagoner, OK 74467 | 2019-02-27 |
| 1144769399 | Elaina Murray | Technician | 308 Ne 2nd St., Wagoner, OK 74467 | 2017-02-21 |
| 1336699784 | Tommye Evidson | Counselor | 109 Harrill Ave, Wagoner, OK 74467 | 2016-10-10 |
| 1518327857 | Yco Tulsa, Inc | Clinic/Center | 1101a South Mcquarrie, Wagoner, OK 74467 | 2016-02-29 |
| 1396117545 | Sandra Cooper | Behavioral Analyst | 2109 Us-69, Wagoner, OK 74467 | 2015-10-28 |
| 1588051486 | Penny Nye | Counselor | 2109 S.hwy 69, Wagoner, OK 74467 | 2015-04-20 |
| 1376943571 | Justin F Kurtz | Respiratory Therapist, Certified | 1200 W. Cherokee, Suite H Cardiac/pulmonary Rehab, Wagoner, OK 74467 | 2014-08-26 |
| 1780009969 | David H Good | Family Medicine | 1202 W. Cherokee St, Ste E, Wagoner, OK 74467 | 2014-02-25 |
| 1942598875 | Robin Rodriguez-higginbottom | Speech-Language Pathologist | 215 E Cherokee St, Wagoner, OK 74467 | 2011-07-12 |
| Find all providers in zip 74467 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518327857 | Yco Tulsa, Inc | Clinic/Center | 1101a South Mcquarrie, Wagoner, OK 74467 | 2016-02-29 |
| 1689165631 | Grand Lake Mental Health Center, Inc. | Clinic/Center | 26243 Highway 51, Wagoner, OK 74467-8740 | 2018-05-25 |
| 1255704250 | Grand Lake Mental Health Center, Inc. | Clinic/Center | 2109 S Highway 69, Wagoner, OK 74467-9310 | 2015-11-12 |
| 1932523867 | James Foreman | Clinic/Center | 118 S Main St, Wagoner, OK 74467-5221 | 2014-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870742 | Sequelcare of Oklahoma, LLC | Clinic/Center | 6218 S Lewis Ave Ste 118, Tulsa, OK 74136-1018 | 2020-10-28 |
| 1649870890 | M & M Counseling Group, LLC | Clinic/Center | 207 S Czech Hall Rd, Yukon, OK 73099-6851 | 2020-10-27 |
| 1992303721 | Misty Watkins | Clinic/Center | 1601 Sw Parkridge Blvd Ste 200, Lawton, OK 73505-7564 | 2020-10-14 |
| 1295342046 | Integrative Healthcare Solutions LLC | Clinic/Center | 2227 E 8th St, Tulsa, OK 74104-3237 | 2020-09-25 |
| 1235744020 | Strength of A Warrior Counseling Services LLC | Clinic/Center | 4516 Se 25th St, Del City, OK 73115-4114 | 2020-09-09 |
| 1609488253 | Alexie Foster, LLC | Clinic/Center | 16802 S 301st West Ave, Bristow, OK 74010-2265 | 2020-08-17 |
| 1306455068 | Restore Family Counseling, LLC | Clinic/Center | 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 | 2020-07-29 |
| 1245855857 | Dragonfly Psychotherapy | Clinic/Center | 2942 Ne Orlie Dr, Forest Park, OK 73121-2436 | 2020-06-09 |
| 1508480872 | Maria Nancy Martinez | Clinic/Center | 5350 S Western Ave Ste 217, Oklahoma City, OK 73109-4525 | 2020-06-03 |
| 1649894015 | Miranda Rackers | Clinic/Center | 1308 E Mckinley Ave, Sapulpa, OK 74066-4824 | 2020-06-02 |
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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.