DR. STEPHANIE KIM PHILLIPS (NPI# 1366452468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366452468 |
| Entity Type | Individual |
| Full Name | DR. STEPHANIE KIM PHILLIPS |
| Other Name | STEPHANIE JIN KIM |
| Credential | PSYD |
| Practice Address |
10475 Perry Hwy Town Centre, Ste 300 Wexford PA 15090-9274 |
| Practice Telephone | 7247597500 |
| Practice Fax Number | 7247597600 |
| Mailing Telephone | 7247597500 |
| Mailing Fax Number | 7247597600 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2013-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PS009055L | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437658010 | Stephanie Erin Phillips | Counselor | 1227 N Franklin St, Colorado Springs, CO 80903-2525 | 2018-02-08 |
| 1902320864 | Stephanie Marie Phillips | Nurse Practitioner | 18211 Pines Blvd, Pembroke Pines, FL 33029-1417 | 2017-08-01 |
| 1710370135 | Stephanie Phillips | Physician Assistant | 777 E Route 70 # G-101, Marlton, NJ 08053-2341 | 2015-03-10 |
| 1912324690 | Stephanie Kay Phillips | Massage Therapist | 6975 Westwyck Dr, Whitehouse, OH 43571-9616 | 2014-03-19 |
| 1639516990 | Stephanie Ann Phillips | Social Worker | 7565 Granger Rd, Suite B, Cleveland, OH 44125-4818 | 2013-05-28 |
| 1982901468 | Stephanie Phillips | Counselor | 1811 Queen Anne Ave N Ste 202, Seattle, WA 98109-2850 | 2011-02-18 |
| 1639406085 | Stephanie Ellen Phillips | Speech-Language Pathologist | 636 Laconia Ave, Staten Island, NY 10306-5228 | 2009-11-05 |
| 1528391232 | Stephanie Marie Phillips | Registered Nurse | 1640 Oak Park Blvd, Pleasant Hill, CA 94523-4422 | 2009-09-13 |
| 1699983650 | Stephanie Barbara Phillips | Podiatrist | 140 Einstein Loop, Suite 13d, Bronx, NY 10475-4903 | 2007-05-21 |
| 1538203195 | Stephanie Phillips | Dentist | 1123 Winding Branch Cir, Dunwoody, GA 30338-3915 | 2007-02-16 |
| Street Address |
10475 PERRY HWY TOWN CENTRE, STE 300 |
| City | WEXFORD |
| State | PA |
| Zip Code | 15090-9274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629067087 | Michelle Metz-foley | Counselor | 10475 Perry Hwy, Town Centre, Suite 300, Wexford, PA 15090-9274 | 2005-10-18 |
| 1417324013 | Kathleen Rowland | Occupational Therapist | 10475 Perry Hwy, Suite G106 Town Center, Wexford, PA 15090-9274 | 2015-08-31 |
| 1730500349 | Michelle Lee Schuster | Physical Therapist | 10475 Perry Hwy, Suite G106, Wexford, PA 15090-9274 | 2013-12-27 |
| 1245580950 | Jennifer L Quitko | Chiropractor | 10475 Perry Hwy, Wexford, PA 15090-9274 | 2012-09-11 |
| 1720347446 | Braden Ambrose | Counselor | 10475 Perry Hwy, Towne Centre Suite 300, Wexford, PA 15090-9274 | 2012-05-15 |
| 1578876637 | David Edward Gornick | Dentist | 10475 Perry Hwy, Suite 205, Wexford, PA 15090 | 2010-07-19 |
| 1427286616 | Dina Patterson, M.d., P.C. | Physical Medicine & Rehabilitation | 10475 Perry Hwy, Suite 101, Wexford, PA 15090-9274 | 2009-06-25 |
| 1265666713 | Jennifer M Croyle | Counselor | 10475 Perry Hwy, Town Centre Suite 300, Wexford, PA 15090-9274 | 2009-05-13 |
| 1265606826 | North Hills Psychological Associates, Inc. | Psychologist | 10475 Perry Hwy, Town Centre, Suite 300, Wexford, PA 15090-9274 | 2008-04-15 |
| 1659540094 | Mary Jeanne Hoover | Social Worker | 10475 Perry Hwy, Towncenter, Ste 300, Wexford, PA 15090-9274 | 2008-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932746443 | Lauren Jennifer Kinder | Nurse Practitioner | 103 North Meadows Dr., Suite 220, Wexford, PA 15090 | 2019-12-03 |
| 1235608365 | Pittsburgh Ear LLC | Audiologist | 6041 Wallace Road Ext, Suite 110, Wexford, PA 15090 | 2018-11-19 |
| 1659847739 | Anna Zenkova | Physician Assistant | 10466 Perry Highway, Baierl Honda Cpo Building. 2nd Floor., Wexford, PA 15090 | 2018-10-16 |
| 1831674571 | Comprehensive Care Multi-specialty Physician Organization PC | Internal Medicine | 6400 Brooktree Court., Suite. 320, Wexford, PA 15090 | 2018-09-28 |
| 1760989115 | Kerry L Vaughn | Nurse Practitioner | 12311 Perry Hwy Fl 1, Wexford, PA 15090 | 2018-04-11 |
| 1821446097 | John Richard Moesch | Internal Medicine | 9000 Brooktree Rd, Brooktree Office Park, Suite 2000, Hexford, PA 15090 | 2016-05-28 |
| 1336595511 | Kelly Mea | Occupational Therapist | 10475 Perry Hwy Ste 106g, Wexford, PA 15090 | 2016-05-06 |
| 1194194282 | Natassia Dickey | Counselor | 101 N Meadows Dr Ste 234, Wexford, PA 15090 | 2015-09-18 |
| 1912382631 | Jessica Hamilton | Dietitian, Registered | 155 Towne Centre Avenue, Wexford, PA 15090 | 2015-07-23 |
| 1205211224 | Tamara Domnitz | Optometrist | 110 Vip Dr Ste 301, Wexford, PA 15090 | 2015-07-21 |
| Find all providers in zip 15090 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159329 | Jennifer Eldridge Ph. D. | Psychologist | 52 Pine Creek Rd Ste 200, Wexford, PA 15090-9366 | 2020-06-24 |
| 1730360744 | Scott Frederick Kaper | Psychologist | 101 Bradford Rd Ste 239, Wexford, PA 15090-6909 | 2007-11-19 |
| 1023200805 | Annalisa Angelica Almendras | Psychologist | 101 Bradford Rd Ste 212, Wexford, PA 15090-6909 | 2007-08-15 |
| 1851848584 | Kaylee Curilla | Psychologist | 117 Vip Dr, Suite 310, Wexford, PA 15090-6932 | 2016-09-11 |
| 1841597531 | Allison Gardner Bashe | Psychologist | 117 Vip Dr, Suite 310, Wexford, PA 15090-6932 | 2011-02-16 |
| 1598922593 | Tara J Gunther | Psychologist | 12311 Perry Hwy, Wexford, PA 15090-8344 | 2008-05-19 |
| 1871719864 | Jeffrey B. Wolfe | Psychologist | 103 N Meadows Dr, Suite 210, Wexford, PA 15090-8369 | 2007-04-18 |
| 1164565842 | Carol Javna | Psychologist | 6200 Brooktree Rd, Suite 110, Wexford, PA 15090-9299 | 2007-02-14 |
| 1043391147 | Francis Richard Kush | Psychologist | 117 Vip Dr Ste 310, Wexford, PA 15090-6936 | 2006-10-17 |
| 1467559807 | Frederick Bruce Rohrs | Psychologist | 12311 Perry Hwy, Wexford, PA 15090-8344 | 2006-09-20 |
| Find all providers in WEXFORD | ||||
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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.