DON ELLIS PHILLIPS SR. (NPI# 1396203253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396203253 |
| Entity Type | Individual |
| Full Name | DON ELLIS PHILLIPS SR. |
| Credential | PMHNP |
| Practice Address |
6333 Telegraph Ave Oakland CA 94609-1359 |
| Practice Telephone | 5109230180 |
| Practice Fax Number | 5109230894 |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2019-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
95047438 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104958875 | Don Steven Phillips | Counselor | 1023 Fair Rd, Sidney, OH 45365 | 2007-03-09 |
| 1588686943 | Don R Phillips | Obstetrics & Gynecology | 3224 S 70th St, Fort Smith, AR 72903-5050 | 2006-07-24 |
| Street Address |
6333 TELEGRAPH AVE |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-1359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841278991 | Charline Bayon Simmons | Psychiatry & Neurology | 6333 Telegraph Ave, 200, Oakland, CA 94609-1359 | 2006-01-07 |
| 1376143040 | Lisette Carrillo | Specialist | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2020-10-30 |
| 1497366694 | Debbie Terry Cruz | Specialist | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2020-08-11 |
| 1699314740 | Kimbra J Baker | Counselor | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2020-01-06 |
| 1609419019 | Marlyn Murcia | Case Manager/Care Coordinator | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2019-10-18 |
| 1265075667 | Adebisi Adewale | Counselor | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2019-10-18 |
| 1093356826 | Shaeonna Shamara Muhammad | Specialist | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2019-10-02 |
| 1053962779 | Selene Singh | Counselor | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2019-09-24 |
| 1629626148 | Monte Hardy | Counselor | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2019-08-28 |
| 1497303937 | Keatonia Isa Hall | Counselor | 6333 Telegraph Ave, Oakland, CA 94609-1359 | 2019-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
| Find all providers in zip 94609 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493887 | Chidozie Ephrem Ibe | Nurse Practitioner | 2620 26th Ave, Oakland, CA 94601-1907 | 2020-10-02 |
| 1225501109 | Elijah Sangku-daniel Kim | Nurse Practitioner | 3800 Coolidge Ave, Oakland, CA 94602 | 2019-01-03 |
| 1487043758 | Marshall L Gold | Nurse Practitioner | 286 Santa Clara Ave, Oakland, CA 94610-2624 | 2015-01-09 |
| 1326449778 | Barbara Freiheit | Nurse Practitioner | 405 14th St, Oakland, CA 94612-2715 | 2014-09-04 |
| 1639578487 | Mona Kim | Nurse Practitioner | 1422 Harrison St, Oakland, CA 94612-3903 | 2014-08-18 |
| 1386919850 | Chelsea Landolin | Nurse Practitioner | 1422 Harrison St, Oakland, CA 94612-3903 | 2012-03-16 |
| 1558678862 | Haydee Ortiz | Nurse Practitioner | 1501 Fruitvale Ave, Oakland, CA 94601-2322 | 2010-09-08 |
| 1902033095 | Margaret Grady | Nurse Practitioner | 9 Post Rd Ste M2, Oakland, NJ 07436-1619 | 2009-06-16 |
| 1073664231 | Mary Philomena Kastner | Nurse Practitioner | 525 21st St, Oakland, CA 94612-1605 | 2007-01-15 |
| 1427168335 | Janet M Nilsen | Nurse Practitioner | 280 W Macarthur Blvd, Oakland, CA 94611-5642 | 2006-08-30 |
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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.