TAMARA FAYE PHILLIPS (NPI# 1629346952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629346952 |
| Entity Type | Individual |
| Full Name | TAMARA FAYE PHILLIPS |
| Credential | MA |
| Practice Address |
12805 Hwy 55 Ste 402 Plymouth MN 55441-3868 |
| Practice Telephone | 6123263157 |
| Practice Fax Number | 6125647195 |
| Mailing Telephone | 6123263157 |
| Mailing Fax Number | 6125647195 |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2380 Wycliff St, Suite 102, Saint Paul, MN 551141279 | 6516471083 | 6516421230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063819308 | Tamara Kacey Phillips | Registered Nurse | 15001 E. Oxford Ave, Excelsior Youth Center, Aurora, CO 80014 | 2014-12-02 |
| 1710219431 | Tamara Cathlene Phillips | Counselor | 4441 Auburn Blvd Ste E, Sacramento, CA 95841-4139 | 2010-02-05 |
| Street Address |
12805 HWY 55 STE 402 |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55441-3868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689190019 | The Recovery Clinic LLC | Clinic/Center | 9800 Shelard Pkwy Ste 215, Plymouth, MN 55441 | 2017-08-17 |
| 1356887186 | Katherine Marlow Bell | Dentist | 2805 Campus Dr Ste 245, Plymouth, MN 55441 | 2017-01-18 |
| 1083069538 | Mercade Waldon | Home Health Aide | 3501 Xenium Lane, Plymouth, MN 55441 | 2016-05-03 |
| 1346645538 | Phs Westhealth, Inc | Skilled Nursing Facility | 2775 Campus Drive North, Plymouth, MN 55441 | 2014-10-30 |
| 1427453125 | Samuel David Fine | Pharmacist | 4070 Goldenrod Ln, Plymouth, MN 55441 | 2014-10-24 |
| 1548672538 | Scott Aaron Schmidt | Dentist | 2720 Annapolis Circle N, Suite A, Plymouth, MN 55441 | 2014-05-23 |
| 1831498633 | Comforide Transportation Services LLC | Non-emergency Medical Transport (VAN) | 9730 37th Pl N Suite 201, Plymouth, MN 55441 | 2011-03-18 |
| 1255669271 | Tammy Kae Mehlhaus | Physician Assistant | 2855 Campus Drive, Suite 570, Plymouth, MN 55441 | 2009-12-02 |
| 1164758199 | Stephen P. Boger, Dds, Pa | Dentist | 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 | 2009-10-27 |
| 1093908360 | Endodontic Professionals Pa Plymouth Endodontics | Dentist | 3401 Hwy 169 N, Plymouth, MN 55441 | 2007-08-21 |
| Find all providers in zip 55441 | ||||
| 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 |
|---|---|---|---|---|
| 1790324077 | Jennifer Jasperson | Marriage & Family Therapist | 4345 Lawndale Ln N, Plymouth, MN 55446-1342 | 2020-01-03 |
| 1356844955 | Lindsay Nicole Keiser | Marriage & Family Therapist | 595 Forest Ave Ste 11b, Plymouth, MI 48170-1771 | 2018-03-10 |
| 1699140970 | Erika Workman | Marriage & Family Therapist | 212 Sandwich St, Plymouth, MA 02360-2438 | 2015-12-11 |
| 1538541347 | Pregnancy and Postpartum Support Minnesota | Marriage & Family Therapist | 1700 Niagara Ln N, Ste 201, Plymouth, MN 55447-4739 | 2015-06-29 |
| 1396151155 | Anne Merrill | Marriage & Family Therapist | 11129 Fellows Creek Dr, Plymouth, MI 48170-6359 | 2014-07-01 |
| 1992147144 | Brandy Tessa Brown | Marriage & Family Therapist | 1700 Niagara Ln N Ste 201, Plymouth, MN 55447-4911 | 2013-07-29 |
| 1699114934 | Justine Carlucci | Marriage & Family Therapist | 16 Samoset St, Plymouth, MA 02360-4544 | 2013-06-20 |
| 1154661833 | Jennifer Mcvann | Marriage & Family Therapist | 3370 Annapolis Ln N Ste C, Plymouth, MN 55447-5384 | 2013-02-18 |
| 1437419116 | Amy T Madson | Marriage & Family Therapist | 12800 Industrial Park Blvd Ste B50, Plymouth, MN 55441-3905 | 2012-05-29 |
| 1578858569 | Erin Hurley Hundley | Marriage & Family Therapist | 36 Cordage Park Cir Ste 305, Plymouth, MA 02360-7332 | 2011-06-17 |
| Find all providers in PLYMOUTH | ||||
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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.