JEROME LATRAY PHILLIPS (NPI# 1457634511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457634511 |
| Entity Type | Individual |
| Full Name | JEROME LATRAY PHILLIPS |
| Credential | B.S, BHRS |
| Practice Address |
5400 Willow Cliff Rd Apt 436 Oklahoma City OK 73122-6341 |
| Practice Telephone | 4057890168 |
| Mailing Telephone | 4057890168 |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
S082659956 | OK | Behavioral Health & Social Service Providers |
| Street Address |
5400 WILLOW CLIFF RD APT 436 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73122-6341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765959 | Cullen Crawford | Behavior Technician | 4704 Nw 40th, Oklahoma City, OK 73122 | 2020-03-13 |
| 1700446259 | T&r Services, Inc. | In Home Supportive Care | 3844 N. Macarthur Blvd, Warr Acres, OK 73122 | 2019-06-17 |
| 1962997072 | Stephen Vaughn Johnson | Case Management | 5910 Nw 58th Steet, Oklahoma City, OK 73122 | 2018-06-30 |
| 1598279374 | Sikirat Iyanda | Case Manager/Care Coordinator | 5317 Willow Cliff Rd Apt 137, Okc, OK 73122 | 2017-11-30 |
| 1841650827 | Victoria Ekwueme | Counselor | 6421 Nw 36th Street, Oklahoma City, OK 73122 | 2016-03-03 |
| 1861760837 | John Bernard Gilleran | Anesthesiology | 4940 Nw 31st St, Oklahoma City, OK 73122 | 2011-12-06 |
| 1356623482 | Jerry Skariah George | Pharmacist | 5901 Nw 39th Expressway, Warr Acres, OK 73122 | 2011-09-14 |
| 1306134366 | Chelsea Nicole Haller | Physical Therapist | 5604 N.w. 41st, Suite 220, Oklahoma City, OK 73122 | 2011-07-12 |
| 1972824886 | Katrina Renee Klohn | Counselor | 5612 Nw 62nd St., Okc, OK 73122 | 2010-06-15 |
| 1205039377 | Larry L Winnard | Specialist/Technologist | 5300 N. W. 50th, Okla. City, OK 73122 | 2007-06-07 |
| Find all providers in zip 73122 | ||||
| Taxonomy Code | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275946683 | Silvia De Loera | Psychologist | 1416 Nw 126th St, Oklahoma City, OK 73120-5100 | 2014-06-04 |
| 1194075317 | Shanika M Stepeny | Psychologist | 5929 N. May Ave, Suite 218, Oklahoma City, OK 73112-3909 | 2012-09-14 |
| 1295096022 | Erica Antionette Young | Psychologist | 9300 S Indiana Ave, Oklahoma City, OK 73159-7122 | 2012-06-07 |
| 1649530874 | Lakedrick Papa Nii Neequaye | Psychologist | 4209 Nw 23rd St Ste 100, Oklahoma City, OK 73107-2645 | 2012-05-22 |
| 1346500733 | Sha-akeelah V Jones | Psychologist | 4209 N W 23 Rd Ste 100, Oklahoma City, OK 73107 | 2012-05-21 |
| 1598036055 | Sharleen Louise Dewane | Psychologist | 5546 N Portland Ave, Apt 260, Oklahoma City, OK 73112-1913 | 2012-01-14 |
| 1588933428 | Adekunle O Adeleye | Psychologist | 10308 S Klein Ave, Oklahoma City, OK 73139-2970 | 2011-12-21 |
| 1326317678 | Horace Earl Scott Jr. | Psychologist | 3000 N Forest Park Dr, Oklahoma City, OK 73121-2430 | 2011-12-15 |
| 1194092296 | Tashika Maxwell | Psychologist | 608 Nw 97th St, Oklahoma City, OK 73114-6420 | 2011-11-17 |
| 1245514751 | John Brett Mccuan | Psychologist | 3131 Sw 63rd St, Oklahoma City, OK 73159-1209 | 2011-10-03 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73122 |
Please comment or provide details below to improve the information on JEROME LATRAY 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.