DR. RANDALL WALLACE PHILLIPS (NPI# 1306848940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306848940 |
| Entity Type | Individual |
| Full Name | DR. RANDALL WALLACE PHILLIPS |
| Credential | PH.D. |
| Practice Address |
367b N Parkway Jackson TN 38305-2865 |
| Mailing Address |
26 Chandlers Cv Jackson TN 38305-6913 |
| Practice Telephone | 7316682277 |
| Mailing Telephone | 7316606015 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFT 000050 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104083997 | Randall Jerald Phillips | Dentist | 516 Candler St, Gainesville, GA 30501-3332 | 2008-05-20 |
| 1154304962 | Randall Phillips | Radiology | 2780 Middle Country Rd Ste 210, Lake Grove, NY 11755-2120 | 2005-11-25 |
| 1851662860 | Randall Austin Phillips Jr. | Social Worker | 301 Nw 63rd St, Suite 301, Oklahoma City, OK 73116-7907 | 2012-01-23 |
| 1295763183 | Randall R Phillips | Otolaryngology | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2006-06-29 |
| 1841248705 | Randall Phillips | Physical Therapist | 96 Macon Center Dr, Franklin, NC 28734-6779 | 2006-05-04 |
| 1124099395 | Randall Joseph Phillips | Radiology | 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818-9701 | 2006-01-27 |
| Street Address |
367B N PARKWAY |
| City | JACKSON |
| State | TN |
| Zip Code | 38305-2865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578569604 | David E. Pickering | Psychologist | 367b N Parkway, Ste 1, Jackson, TN 38305-2899 | 2005-06-23 |
| 1851457519 | Frances M Lockwood | Psychologist | 367b N Parkway, Suite 1, Jackson, TN 38305-2865 | 2006-12-28 |
| 1932148426 | Gayle Michael Cravens | Counselor | 367b N Parkway, Jackson, TN 38305-2899 | 2006-06-06 |
| 1801866652 | Sandra K Sarten | Social Worker | 367b N Parkway, Suite 1, Jackson, TN 38305-2865 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656818 | Kimaya Jelks | Specialist | 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 | 2020-10-16 |
| 1821600578 | Maame Obeng | Pharmacist | 3144 North Highland Avenue, Jackson, TN 38305 | 2020-08-22 |
| 1700361904 | James Cowie | Psychologist | 156c West University Pkwy, Jackson, TN 38305 | 2018-10-03 |
| 1700372109 | Chad Zawacki | Physician Assistant | 147 North Star Drive, Jackson, TN 38305 | 2018-07-09 |
| 1104323070 | Golden Years Adult Day Care | Clinic/Center | 155 Carriage Dr Suite A, Jackson, TN 38305 | 2018-04-09 |
| 1245754563 | Tanika Annette Gillard | Massage Therapist | 4 Hampton Ln, Jackson, TN 38305 | 2017-07-28 |
| 1316488117 | Lakisha T Ingram | Counselor | 168 Greencastle Dr, Jackson, TN 38305 | 2017-03-13 |
| 1619421567 | D & L Wellness Inc | Community/Behavioral Health | 154 Carriage House Dr., Jackson, TN 38305 | 2016-08-09 |
| 1649637638 | Advance Choice Home Care LLC | In Home Supportive Care | 1028 Ashport Rd., Jackson, TN 38305 | 2016-01-21 |
| 1942666151 | Neurohealth Solutions Inc. | Clinic/Center | 174 Murray Guard Dr. Suite E, Jackson, TN 38305 | 2016-01-05 |
| Find all providers in zip 38305 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700341914 | Heidi Christine Somers | Marriage & Family Therapist | 330 N Glenwood St, Jackson, WY 83001-8765 | 2019-02-01 |
| 1043734080 | Naomi Fortune Muffuletto | Marriage & Family Therapist | 1151 North State Street, Suite 212, Jackson, MS 39202-2467 | 2017-08-01 |
| 1104299791 | Ashlie Edwards Counseling | Marriage & Family Therapist | 91 Stonebridge Blvd Ste 104, Jackson, TN 38305-2042 | 2015-11-04 |
| 1295114361 | Gladys Felicia Dinkins | Marriage & Family Therapist | 5360 Bld. C, Jackson, MS 39206-4101 | 2015-05-22 |
| 1871909689 | Revelation of Hope Counseling Services, LLC | Marriage & Family Therapist | 386 Carriage House Dr Ste B, Jackson, TN 38305-2236 | 2014-07-02 |
| 1003233008 | Leanne Braddock | Marriage & Family Therapist | 561 E Main St, Jackson, TN 38301-6451 | 2014-03-27 |
| 1326388307 | Susan Woodard | Marriage & Family Therapist | 1801 Crane Ridge Dr Ste A, Jackson, MS 39216-4902 | 2013-02-27 |
| 1629362124 | Bradley Bonnett | Marriage & Family Therapist | 401 West St Ste 115, Jackson, MN 56143-1219 | 2011-06-02 |
| 1235438235 | Kathleen Marie Pignataro | Marriage & Family Therapist | 235 New York Ranch Rd Ste C, Jackson, CA 95642-2173 | 2011-03-17 |
| 1629306303 | Lauraq Elise Santomauro | Marriage & Family Therapist | 460 South Jackson Ave., Jackson, WY 83001 | 2009-11-18 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on DR. RANDALL WALLACE PHILLIPS.
| 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.