LEONARD R PHILLIPS (NPI# 1386883882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386883882 |
Entity Type | Individual |
Full Name | LEONARD R PHILLIPS |
Credential | MSW, LCSW-R |
Practice Address |
36 Reed St Marcellus NY 13108-1128 |
Practice Telephone | 3156730840 |
Practice Fax Number | 3156730840 |
Mailing Telephone | 3156730840 |
Mailing Fax Number | 3156730840 |
Enumeration Date | 2009-02-07 |
Last Update Date | 2009-02-07 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
018434 | NY | Behavioral Health & Social Service Providers |
Y | 101YM0800X |
Counselor Specialization: Mental Health |
018434 | NY | Behavioral Health & Social Service Providers |
Street Address |
36 REED ST |
City | MARCELLUS |
State | NY |
Zip Code | 13108-1128 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174693170 | David Samuel Dinello | Emergency Medicine | 2380 Cherry Valley Turnpike, Marcellus, NY 13108 | 2006-11-08 |
1568495323 | Khatuna Stepkovitch | Internal Medicine | 1/2 Orange Street, Dr.stepkovitch's Ofice, Marcellus, NY 13108 | 2006-07-07 |
1952389165 | Ramon Berrios | Family Medicine | 1/2 Orange St, Marcellus, NY 13108 | 2006-01-06 |
1780840405 | Anna J. Sturtz | Nurse Practitioner | 1/2 Orange Street, Marcellus, NY 13108 | 2008-08-01 |
1437453560 | Melissa E Cole | Speech-Language Pathologist | 4416 Dublin Rd, Marcellus, NY 13108-1016 | 2011-01-04 |
1659905966 | Anne R Smyth | Massage Therapist | 6 W Main St, Marcellus, NY 13108-1118 | 2020-02-25 |
1376016576 | Cornerstone Family Chiropractic Pllc | Chiropractor | 6 W Main St, Marcellus, NY 13108-1118 | 2019-01-10 |
1093189854 | Katrine Ferguson | Chiropractor | 6 W Main St, Marcellus, NY 13108-1118 | 2015-11-17 |
1558684548 | Ja Spa, LLC | Massage Therapist | 16 W Main St, Marcellus, NY 13108-1118 | 2010-03-05 |
1003150533 | Diane F. Snyder | Registered Nurse | 27 W. Main St, Marcellus, NY 13108-1131 | 2012-11-21 |
Find all providers in zip 13108 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
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1659972859 | Rebecca Ryan | Counselor | 8 Virginia Road, Babylon, NY 11702 | 2020-11-04 |
1760083992 | Michelle Stiles Lmhc Pllc | Counselor | 8306 Caughdenoy Rd, Clay, NY 13041-9165 | 2020-11-04 |
1114528304 | May Tang | Counselor | 7215 37th Ave Apt 6c, Jackson Heights, NY 11372-6214 | 2020-11-04 |
1063013191 | Clinicians of The Diaspora, LLC | Counselor | 203 W 117th St Apt 3e, New York, NY 10026-2139 | 2020-11-04 |
1871194464 | Tamara Sarita Manzo | Counselor | 60 N Waldinger St, Valley Stream, NY 11580-3809 | 2020-11-02 |
1730789389 | Willam Bernard Feehan | Counselor | 14 Sutton Pl S Apt 3b, New York, NY 10022-3109 | 2020-10-31 |
Find all providers with the same taxonomy |
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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.