MR. ANDREW RYAN PHILLIPS (NPI# 1457983108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457983108 |
| Entity Type | Individual |
| Full Name | MR. ANDREW RYAN PHILLIPS |
| Practice Address |
12 Health Services Dr Dekalb IL 60115-9637 |
| Mailing Address |
Po Box 1109 Dekalb IL 60115-7109 |
| Practice Telephone | 8157564875 |
| Mailing Telephone | 8157564875 |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 474579189001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538796818 | Andrew Phillips | Dentist | 2070 S View St Apt 113, Salt Lake City, UT 84105-3766 | 2020-03-25 |
| 1295256162 | Andrew Phillips | Emergency Medicine | 901 N Porter Ave Ofc, Norman, OK 73071-6404 | 2017-06-30 |
| 1396287348 | Andrew Phillips | Student in an Organized Health Care Education/Training Program | 189 Citation Dr Sw, Pataskala, OH 43062-8508 | 2016-11-08 |
| 1174655039 | Andrew Werner Phillips | Dentist | 235 Madison Ave, Wyckoff, NJ 07481 | 2007-03-09 |
| 1013537364 | Andrew James Phillips | Physical Therapist | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-04-16 |
| 1780164897 | Andrew D Phillips | Marriage & Family Therapist | 4045 Orchard Rd Se Ste 110, Smyrna, GA 30080-4904 | 2018-08-17 |
| 1669829248 | Andrew Scott Phillips | Internal Medicine | 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | 2016-05-24 |
| 1134475411 | Andrew Phillips | Counselor | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2012-07-24 |
| 1770849820 | Andrew Warejko Phillips | Anesthesiology | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2012-04-03 |
| 1821354028 | Andrew Luke Phillips | Preventive Medicine | 391 S Chipeta Way Ste C, Slc, UT 84108-1294 | 2012-04-02 |
| Street Address |
12 HEALTH SERVICES DR |
| City | DEKALB |
| State | IL |
| Zip Code | 60115-9637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144393497 | Amylynn M Weiten | Counselor | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2006-11-16 |
| 1952900375 | Brianna Rae Johnson | Counselor | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2020-10-19 |
| 1215543111 | Rhyann Brianna Locke | Social Worker | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2020-09-17 |
| 1952925182 | Mariah Anne Thompson | Counselor | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2020-06-03 |
| 1376167734 | Hannah Grace Brennan | Counselor | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2020-06-02 |
| 1619590981 | Samantha Nikole Gudmunson | Registered Nurse | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2020-05-21 |
| 1992326151 | Dianna Huttunen | Case Management | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2020-04-29 |
| 1558982702 | Kathleen C Wilkerson | Case Management | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2020-04-29 |
| 1225670219 | Bonn Christian Cruz | Counselor | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2019-10-11 |
| 1396394649 | Jennifer Lauren Larsen | Social Worker | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2019-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372179 | Megan Erhart | Counselor | 304 N. 6th Street, Dekalb, IL 60115 | 2020-09-28 |
| 1689141616 | Stephanie Klewin | Psychologist | 631 S 1st Street, Dekalb, IL 60115 | 2018-10-29 |
| 1164902219 | Kimberly Ann Hart | Counselor | 290 N. Annie Glidden Drive, Gh 416, Niu, Dekalb, IL 60115 | 2018-08-17 |
| 1497235824 | Cory David Michael Hayden | Specialist/Technologist | 175 Yordon Center (niu Athletic Training), Dekalb, IL 60115 | 2018-08-15 |
| 1154807808 | Michael John Borak | Pharmacist | 975 S Annie Glidden Road, Schnucks Market Inc, Dekalb, IL 60115 | 2018-07-16 |
| 1184125841 | Candace Schroeffel | Student in an Organized Health Care Education/Training Program | 520 Garden Rd, Dekalb, IL 60115 | 2018-02-27 |
| 1033627583 | Hannah M Studebaker | Massage Therapist | 3266 Sycamore Road, Dekalb, IL 60115 | 2018-01-18 |
| 1649700238 | Jennifer Mangino | Behavioral Analyst | 138 Berkshire Dr, Dekalb, IL 60115 | 2017-06-15 |
| 1003346628 | Victoria Tullock | Counselor | 631 South First St., Dekalb, IL 60115 | 2017-06-15 |
| 1194263848 | Brianna Kraft | Specialist/Technologist | 900 Crane Dr, Dekalb, IL 60115 | 2017-02-02 |
| Find all providers in zip 60115 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760943492 | Harold Lynn Drake | Counselor | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2019-03-26 |
| 1225545734 | Bernice E. Jarvis-anderson | Counselor | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2018-01-05 |
| 1295259059 | Kristen Angela Melchiori | Counselor | 631 S 1st St, Dekalb, IL 60115-4117 | 2017-08-02 |
| 1679923437 | Paul Grasemann | Counselor | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2016-06-13 |
| 1689032807 | Stephanie Maszczyk | Counselor | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2016-02-02 |
| 1710363221 | Robin Waffle | Counselor | 330 Grove St, Dekalb, IL 60115-3703 | 2015-08-06 |
| 1437535929 | Melissa M Johnson | Counselor | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2015-08-06 |
| 1457737132 | Bridget Kennedy | Counselor | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2015-08-05 |
| 1639562101 | Marissa Kirch | Counselor | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2015-03-09 |
| 1699179705 | Erin Doughty | Counselor | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2014-10-17 |
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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.