DR. MARK A. PHILLIPS (NPI# 1538215736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538215736 |
| Entity Type | Individual |
| Full Name | DR. MARK A. PHILLIPS |
| Credential | PH.D. |
| Practice Address |
7640 Highway 70 S Suite 209 Nashville TN 37221-1758 |
| Mailing Address |
5005 Stonemeade Dr Nashville TN 37221-4046 |
| Practice Telephone | 6156461141 |
| Practice Fax Number | 6156461149 |
| Mailing Telephone | 6156461141 |
| Mailing Fax Number | 6156461149 |
| Enumeration Date | 2007-01-28 |
| Last Update Date | 2015-01-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | P1513 | TN | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | P1513 | TN | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
P1513 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3686357 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033697073 | Mark Phillips | Naturopath | 1170 N Gilbert Rd Ste 15, Gilbert, AZ 85234-2340 | 2018-08-01 |
| 1639699663 | Mark W. Phillips | Nurse Practitioner | 1 S School Ave Ste 200, Sarasota, FL 34237 | 2017-06-21 |
| 1225589328 | Mark Phillips | Counselor | 200 Century Park S Ste 116, Birmingham, AL 35226-3923 | 2016-10-24 |
| 1619293735 | Mark A Phillips | Social Worker | 65 Technology Way Ste 1e3, Nashua, NH 03060 | 2010-04-14 |
| 1245403211 | Mark Terrance Phillips | Dentist | 4024 8th Ln, Anoka, MN 55303-1251 | 2008-04-10 |
| 1275568735 | Mark C Phillips | Legal Medicine | 860 N Myrtle Rd, Myrtle Creek, OR 97457-9626 | 2006-07-12 |
| 1598704256 | Mark D. Phillips | Dentist | 311 N Breiel Blvd, Middletown, OH 45042-3868 | 2006-06-06 |
| 1548212863 | Mark J Phillips | Family Medicine | 3627 Webber St, Suite A, Sarasota, FL 34232-4412 | 2006-05-16 |
| 1558336297 | Mark Lynn Phillips | Specialist | 1 Raider Circle, Northbrook High School, Houston, TX 77080 | 2006-02-17 |
| 1275511966 | Mark Lucas Phillips | Pain Medicine | 522 N Elam Ave, Ste 203, Greensboro, NC 27403-1151 | 2006-01-04 |
| Street Address |
7640 HIGHWAY 70 S SUITE 209 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37221-1758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659375228 | Gary J Smith | Family Medicine | 7640 Highway 70 S, Ste 201, Nashville, TN 37221-1758 | 2005-06-10 |
| 1568847002 | Kailee J Noland | Physical Therapist | 7640 Highway 70 S, Ste. 210, Nashville, TN 37221-1758 | 2015-07-27 |
| 1093136327 | Ami Agbabli | Dentist | 7640 Highway 70 S, #205, Nashville, TN 37221-1758 | 2014-01-06 |
| 1447689500 | Erin Wood | Physical Therapist | 7640 Highway 70 S, Ste. 210, Nashville, TN 37221-1758 | 2013-11-08 |
| 1780018846 | Peter Jordan | Physical Therapist | 7640 Highway 70 S, Ste 210, Nashville, TN 37221-1758 | 2013-08-26 |
| 1164864245 | Sarah Robinson | Audiologist | 7640 Highway 70 S, Suite 207, Nashville, TN 37221-1758 | 2013-07-18 |
| 1093058711 | Ronald Edward Ritchie | Physical Therapist | 7640 Highway 70 S, Suite 104, Nashville, TN 37221-1758 | 2013-04-01 |
| 1831442177 | James M. Rynerson, Md Psc | Ophthalmology | 7640 Highway 70 S, Suite 204, Nashville, TN 37221-1758 | 2012-10-24 |
| 1689955205 | April E Shelide | Physical Therapist | 7640 Highway 70 S, Suite 210, Nashville, TN 37221-1758 | 2011-09-09 |
| 1174816185 | John Stephen Rich Jr. | Psychiatry & Neurology | 7640 Highway 70 S, Suite 110, Nashville, TN 37221-1758 | 2011-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596489 | Results-ast Jv, LLC | Physical Therapist | 5700 Temple Road, Nashville, TN 37221 | 2020-10-23 |
| 1336754258 | Benjamin David Wilson | Pharmacist | 8110 Hghway 100, Bellevue, TN 37221 | 2020-09-09 |
| 1205383825 | Rachel Marlor | Occupational Therapy Assistant | 8353 Tn-100, Nashville, TN 37221 | 2016-09-01 |
| 1558710665 | Little Harpeth Children's Dentistry, Pllc | Dentist | 7640 Us Hwy 70 South, Suite 101, Nashville, TN 37221 | 2016-06-09 |
| 1104272376 | Kori Meyers | Counselor | 7837 Old Harding Pike, Nashville, TN 37221 | 2016-05-06 |
| 1255705844 | Sarah Shuster | Behavioral Analyst | 1672 Brockton Lane, Nashville, TN 37221 | 2015-11-19 |
| 1689017337 | Clay Weldon Callahan | Physical Therapist | 908 Falling Water Ct, Nashville, TN 37221 | 2013-04-12 |
| 1801185723 | Craig Nicholas Dobson | Counselor | 1017 Blythe Court West, Nashville, TN 37221 | 2011-03-31 |
| 1811215916 | Tamera Carter | Nurse Practitioner | 7601 Us Route 70, Bellevue, TN 37221 | 2010-05-13 |
| 1770782500 | Watson Primary Care and General Orthopaedics, Plc | Clinic/Center | 7833 Old Harding Pike, Nashville, TN 37221 | 2007-07-12 |
| Find all providers in zip 37221 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013391960 | Victoria Villicana | Clinical Neuropsychologist | 2417 Bayview Dr, Nashville, TN 37217-3437 | 2015-07-09 |
| 1891177812 | Penny S. Tyler | Clinical Neuropsychologist | 205 N 8th St Unit 102, Nashville, TN 37206-4099 | 2015-06-25 |
| 1295120491 | Elise Baldwin Bradley | Clinical Neuropsychologist | 1161 21st Avenue S, Nashville, TN 37232 | 2015-04-03 |
| 1295160760 | Jacqueline Klaver | Clinical Neuropsychologist | 2200 21st Ave S Ste 300, Nashville, TN 37212 | 2013-09-03 |
| 1508115668 | Michael Shapiro | Clinical Neuropsychologist | 4219 Hillsboro Pike Ste 306, Nashville, TN 37215-3332 | 2012-09-05 |
| 1922310176 | Yasmeen Iqbal Neal | Clinical Neuropsychologist | 4235 Hillsboro Pike Ste 300, Nashville, TN 37215-3344 | 2010-07-03 |
| 1356440788 | Elliot Fielstein | Clinical Neuropsychologist | 2203 Westview Dr, Nashville, TN 37212-4123 | 2006-09-22 |
| 1285652701 | Laura Brown Coulam | Clinical Neuropsychologist | Vanderbilt Medical Group, 3601 The Vanderbilt Clinic, Nashville, TN 37232-0001 | 2006-07-17 |
| 1215550900 | Kaltra Dhima | Clinical Neuropsychologist | 1500 21st Ave S Ste 1506, Nashville, TN 37212-3137 | 2020-05-28 |
| 1740800200 | Sarah Marie Szymkowicz | Clinical Neuropsychologist | 3601 The Vanderbilt Clinic, Nashville, TN 37232-2850 | 2020-04-24 |
| Find all providers in NASHVILLE | ||||
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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.