DR. AUTUMN ROSE PHILLIPS (NPI# 1598083909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598083909 |
| Entity Type | Individual |
| Full Name | DR. AUTUMN ROSE PHILLIPS |
| Credential | PSY.D. |
| Practice Address |
7592 Metropolitan Dr Ste 400 San Diego CA 92108-4428 |
| Practice Telephone | 8777275974 |
| Practice Fax Number | 8777283404 |
| Mailing Telephone | 8777275974 |
| Mailing Fax Number | 8777283404 |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2012-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PSY22939 | CA | Behavioral Health & Social Service Providers |
| Street Address |
7592 METROPOLITAN DR STE 400 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-4428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184698391 | John Lee Grimwood | Pathology | 7592 Metropolitan Dr, Ste 405, San Diego, CA 92108-4428 | 2006-02-14 |
| 1174836894 | San Diego Pathologists Medical Group Inc | Pathology | 7592 Metropolitan Dr, Suite 405, San Diego, CA 92108-4428 | 2010-07-22 |
| 1700108776 | Chronic Pain Associates, P.C. | Rehabilitation Practitioner | 7592 Metropolitan Dr, Suite 401, San Diego, CA 92108-4428 | 2010-02-18 |
| 1396958559 | William Joseph Watts | Pathology | 7592 Metropolitan Dr, Suite 405-407, San Diego, CA 92108-4428 | 2007-05-07 |
| 1588757215 | Tyler P Youngkin | Pathology | 7592 Metropolitan Dr, Suite 405-407, San Diego, CA 92108-4428 | 2006-10-02 |
| 1427066836 | Carla Stayboldt | Pathology | 7592 Metropolitan Dr, Suite 405-407, San Diego, CA 92108-4428 | 2006-08-03 |
| 1194732644 | Bruce Alan Robbins | Pathology | 7592 Metropolitan Dr, Suite 405-407, San Diego, CA 92108-4428 | 2006-08-01 |
| 1174530612 | David John Francis | Pathology | 7592 Metropolitan Dr, Suite 405-407, San Diego, CA 92108-4428 | 2006-08-01 |
| 1265449748 | Nancy Lee Harrison | Pathology | 7592 Metropolitan Dr, Suite 405-407, San Diego, CA 92108-4428 | 2006-08-01 |
| 1205841665 | Slawomir Tadeusz Niewiadomski | Pathology | 7592 Metropolitan Dr, Suite 405-407, San Diego, CA 92108-4428 | 2006-07-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789573 | Shayla Robertson | Psychologist | 2602 Crosshaven Ln, San Diego, CA 92139-2952 | 2020-04-20 |
| 1467083949 | Corrine Joslyn Hufford | Psychologist | 6549 Jaffe Ct Apt 10, San Diego, CA 92119-2150 | 2020-02-03 |
| 1225678840 | Nicholas Buhr | Psychologist | 140 Sylvester Road Bldg 500, Navy Drug Alcohol Counselor School, San Diego, CA 92106-3521 | 2020-01-11 |
| 1215572003 | Alpha Theta Center, Inc | Psychologist | 6540 Lusk Blvd Ste C175, San Diego, CA 92121-2768 | 2019-11-15 |
| 1740825686 | Jill Allison Cooley | Psychologist | 8543 Old Stonefield Chase, San Diego, CA 92127-6133 | 2019-11-14 |
| 1093350456 | Annie Lin | Psychologist | 10531 4s Commons Dr # 530, San Diego, CA 92127-3517 | 2019-11-08 |
| 1164066072 | Elizabeth Kristin Stanton | Psychologist | 3910 Chapman St Ste I, San Diego, CA 92110-5644 | 2019-11-04 |
| 1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
| 1225505480 | Margaret Marie Williams | Psychologist | 4010 Sorrento Valley Blvd Ste 400, San Diego, CA 92121-1433 | 2018-10-25 |
| 1841779154 | Carla Payne, Psychology, Inc. | Psychologist | 2525 Camino Del Rio S. #245, San Diego, CA 92108 | 2018-08-08 |
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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.