MR. PHILIP MICHAEL BOCKARIE (NPI# 1568694289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568694289 |
| Entity Type | Individual |
| Full Name | MR. PHILIP MICHAEL BOCKARIE |
| Other Name | PHILIP MICHAEL BOCKARIE |
| Practice Address |
3211 West Imperial Highway Inglewood CA 90303 |
| Practice Telephone | 3104199616 |
| Practice Fax Number | 3105901357 |
| Mailing Telephone | 3104199616 |
| Mailing Fax Number | 3105901357 |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2009-08-13 |
| 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 | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
3211 WEST IMPERIAL HIGHWAY |
| City | INGLEWOOD |
| State | CA |
| Zip Code | 90303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164654448 | Samuel Ayodele Adeleye | Counselor | 3211 West Imperial Highway, Inglewood, CA 90303 | 2009-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972085983 | Jennese Bacon | Specialist/Technologist | 10932 Casimir Ave, Inglewood, CA 90303 | 2018-09-06 |
| 1174032965 | Billy Campbell | Respiratory Therapist, Registered | 11800 Lemoli Ave, Inglewood, CA 90303 | 2017-09-25 |
| 1801347307 | Michelle Adams | Social Worker | 2930 W. Imperial Hwy., Ste. 310, Inglewood, CA 90303 | 2016-10-19 |
| 1740657345 | Raiji Gaines I | Counselor | 2030 W Imperial Hwy Suite 511, Inglewood, CA 90303 | 2015-08-31 |
| 1427336221 | Aaa Dentistry Center | Dentist | 2646 West Imperial Hwy, Inglewood, CA 90303 | 2011-07-27 |
| 1275845232 | Leah Aguirre Montoya | Registered Nurse | 3451 W. Century Blvd., Suite #b-1, Inglewood, CA 90303 | 2010-07-07 |
| 1609008945 | Olawumi Rotimi | Counselor | 3211 West Imperila Hiighway, 3211 West Imperial Highway, Inglewood, CA 90303 | 2009-08-20 |
| 1942407960 | Los Angeles Drug Treatment Center | Counselor | 3211 West Imperial Hwy, Same As Mailing Address, Inglewood, CA 90303 | 2007-07-02 |
| 1700096369 | Development Specialty Projects, Inc. | Clinic/Center | 3200 West 104 St, Ingelwood, CA 90303 | 2007-05-23 |
| 1336359843 | Development Specialty Projects, Inc. | Clinic/Center | 151 North Grevillea Ave, Inglewood, CA 90303 | 2007-05-23 |
| Find all providers in zip 90303 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389775 | Edward Mccarty | Counselor | 905 Glenway Dr Apt 5, Inglewood, CA 90302-2617 | 2020-09-04 |
| 1538603386 | Zina Love | Counselor | 241 S Market St Ste 4, Inglewood, CA 90301 | 2016-12-13 |
| 1477908044 | Raquel Montes | Counselor | 9722 Oceangate Avenue, Inglewood, CA 90301 | 2016-05-02 |
| 1740657345 | Raiji Gaines I | Counselor | 2030 W Imperial Hwy Suite 511, Inglewood, CA 90303 | 2015-08-31 |
| 1679955595 | Ronnie Salone | Counselor | 2930 W Imperial Hwy Ste 511, Inglewood, CA 90303-3139 | 2015-06-27 |
| 1699166405 | Hector Saucedo | Counselor | 323 N. Paririe Ave., Inglewood, CA 90301 | 2015-02-16 |
| 1295123883 | Ayesha Lewis Munir | Counselor | 2917 W 78th Pl, Inglewood, CA 90305-1027 | 2015-01-05 |
| 1659775302 | John Dennem | Counselor | 323 N. Praire Ave., Inglewood, CA 90301 | 2014-10-09 |
| 1376896217 | Guadalupe Torres | Counselor | 1210 S La Brea Ave Ste A, Inglewood, CA 90301-3894 | 2012-10-16 |
| 1740549526 | Abera Gebre | Counselor | 1210 S. Labrea Ave, Inglewood, CA 90301-3891 | 2012-05-14 |
| Find all providers in INGLEWOOD | ||||
Please comment or provide details below to improve the information on MR. PHILIP MICHAEL BOCKARIE.
| 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.