PHYLLIS J DAVIS (NPI# 1477720704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477720704 |
| Entity Type | Individual |
| Full Name | PHYLLIS J DAVIS |
| Other Name | PEPPER J DAVIS |
| Credential | MC |
| Practice Address |
301 E Bethany Home Rd Suite C296 Phoenix AZ 85012-1263 |
| Practice Telephone | 6022129667 |
| Mailing Telephone | 6022129667 |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | LMFT0272 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669023008 | Phyllis Ann Davis | Technician | 4829 Valley Birch Dr, Arlington, TN 38002-4478 | 2019-09-26 |
| 1073982740 | Phyllis Davis | Case Manager/Care Coordinator | 212 Daywood Dr, Monroe, LA 71203-9203 | 2015-09-23 |
| 1851630594 | Phyllis C. Davis | Psychologist | 4131 Matson Ave, Cincinnati, OH 45236-2509 | 2013-01-31 |
| 1124232731 | Phyllis Davis | Counselor | 236 S 152nd St Apt 305, Burien, WA 98148-1040 | 2007-05-10 |
| 1376072926 | Phyllis Sue Davis | Speech-Language Pathologist | 12975 Sheridan Blvd, Broomfield, CO 80020-1477 | 2017-06-07 |
| 1811387970 | Phyllis Davis | Counselor | 128 North Weadock, Saginaw, MI 48607 | 2015-01-28 |
| 1225320245 | Phyllis Davis | Nurse Practitioner | 183 Us Highway 206 S, Chester, NJ 07930-2402 | 2011-05-10 |
| Street Address |
301 E BETHANY HOME RD SUITE C296 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85012-1263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154352508 | Moshe David Engel | Emergency Medicine | 301 E Bethany Home Rd, Suite A233, Phoenix, AZ 85012-1263 | 2006-07-05 |
| 1497271191 | Jennifer Daltilio | Acupuncturist | 301 E Bethany Home Rd, Phoenix, AZ 85012-1263 | 2017-08-15 |
| 1609314038 | Aristidis Pontikas, Dmd, Ms, Pllc | Clinic/Center | 301 E Bethany Home Rd, Suite B120, Phoenix, AZ 85012-1263 | 2017-02-06 |
| 1114324241 | Amy Grace Dufour Smith | Midwife | 301 E Bethany Home Rd, C-298, Phoenix, AZ 85012-1263 | 2014-12-04 |
| 1326448309 | Douglas Benting | Dentist | 301 E Bethany Home Rd, Suite C-172, Phoenix, AZ 85012-1263 | 2014-08-27 |
| 1265872188 | Ryan Johnson | Marriage & Family Therapist | 301 E Bethany Home Rd, Suite C296, Phoenix, AZ 85012-1263 | 2013-06-25 |
| 1801172218 | Beth Scott Kozan | Counselor | 301 E Bethany Home Rd, Suite C-296, Phoenix, AZ 85012-1263 | 2011-10-30 |
| 1396038584 | Pihma Health & Education Network | Acupuncturist | 301 E Bethany Home Rd, Suite A-100, Phoenix, AZ 85012-1263 | 2011-05-19 |
| 1235441460 | Q Counseling Services, LLC | Social Worker | 301 E Bethany Home Rd, Ste C-296, Phoenix, AZ 85012-1263 | 2010-07-02 |
| 1184858870 | Mischa Cohen Peck | Social Worker | 301 E Bethany Home Rd, Phoenix, AZ 85012-1263 | 2009-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205417 | Diligence Physical Therapy and Wellness, Pllc | Physical Therapist | 3101 N. Central Avenue, Suite 183 # 518, Phoenix, AZ 85012 | 2020-08-17 |
| 1962023135 | Kelee Jade Forst | Student in an Organized Health Care Education/Training Program | 4001 N Third Street, Suite 290, Phoenix, AZ 85012 | 2020-04-29 |
| 1659911428 | Thomas James Blake | Social Worker | Phoenix Va Health Care System, 650 E Indian School Road, Phoenix, AZ 85012 | 2020-01-09 |
| 1598259467 | Luis F Fong | Registered Nurse | 3620 N. 3rd Street, Phoenix, AZ 85012 | 2018-06-14 |
| 1881196335 | Phoenix Surgical Solutions Pllc | Surgery | 6120 W Bell Rd Suite 130, Glendale, AZ 85012 | 2018-03-01 |
| 1679082523 | Christopher Ferguson | Physician Assistant | 1313 E. Osborn Rd., Ste 150, Phoenix, AZ 85012 | 2017-09-22 |
| 1861911323 | Viet Quoc Truong | Physician Assistant | 650 E Indian School Rd # 1, Phoenix, AZ 85012 | 2017-09-15 |
| 1720506389 | Erin Lynne Cody | Nurse Practitioner | 3003 N. 3rd St, Phoenix, AZ 85012 | 2017-09-05 |
| 1346694627 | Sharareh Najafi | Psychologist | 3450 N. 3rd Street, Phoenix, AZ 85012 | 2016-04-22 |
| 1548635824 | Rebekah June Daroff | Specialist/Technologist | 352 N Camelback Rd, Phoenix, AZ 85012 | 2015-12-11 |
| Find all providers in zip 85012 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710530308 | Michelle Huntley | Marriage & Family Therapist | 2211 E Highland Ave Ste 240, Phoenix, AZ 85016-4894 | 2019-07-23 |
| 1861849564 | Ashlea M Taylor | Marriage & Family Therapist | 19820 N 13th Ave, Unit 255, Phoenix, AZ 85027-4308 | 2016-05-23 |
| 1700233418 | Harriet Frost | Marriage & Family Therapist | 4500 N. 32nd Street, Suite 100-d, Phoenix, AZ 85018 | 2016-05-23 |
| 1265898837 | Kelly Rau | Marriage & Family Therapist | 2633 E Indian School Rd Ste 250, Phoenix, AZ 85016-0703 | 2016-01-12 |
| 1720496045 | Danielle Valle Corrales | Marriage & Family Therapist | 6245 N 24th Pkwy Ste 106, Phoenix, AZ 85016-2029 | 2014-07-30 |
| 1659781987 | Tim Penrod | Marriage & Family Therapist | 10439 S 51st St Ste 100, Phoenix, AZ 85044-5224 | 2014-05-08 |
| 1194144675 | Christina Jimenez | Marriage & Family Therapist | 3013 W Running Deer Trl, Phoenix, AZ 85083-5857 | 2014-04-10 |
| 1700134657 | Natalie Defay Foster | Marriage & Family Therapist | 1825 E Northern Ave Ste 215, Phoenix, AZ 85020-3940 | 2012-08-27 |
| 1467714733 | Erin D Stone | Marriage & Family Therapist | 1 E Camelback Rd Ste 630, Phoenix, AZ 85012-1652 | 2012-06-13 |
| 1073805834 | Corinne Renee Clancy Graber | Marriage & Family Therapist | 34225 N 27th Dr Bldg 2, Phoenix, AZ 85085-6087 | 2011-05-11 |
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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.