KIMBERLY PHILLIPS (NPI# 1639466196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639466196 |
| Entity Type | Individual |
| Full Name | KIMBERLY PHILLIPS |
| Credential | MS |
| Practice Address |
53 Eagle Street Administrative Offices Pittsfield MA 01201 |
| Mailing Address |
53 Eagle St Administrative Offices Pittsfield MA 01201-5376 |
| Practice Telephone | 4136291262 |
| Practice Fax Number | 4134482198 |
| Mailing Telephone | 4132365656 |
| Mailing Fax Number | 4134996572 |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2011-12-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316387764 | Kimberly Dawn Phillips | Nurse Practitioner | 1180 Glensboro Rd, Lawrenceburg, KY 40342-9034 | 2013-06-30 |
| 1225377906 | Kimberly Myers Phillips | Physical Therapist | 145 S Granados Ave, Solana Beach, CA 92075-2008 | 2013-01-31 |
| 1366754095 | Kimberly Ann Phillips | Behavioral Analyst | 1920 Thoreau Dr N Ste 180, Schaumburg, IL 60173-4151 | 2010-07-10 |
| 1699004135 | Kimberly Clark Phillips | Registered Nurse | 9464 Unionville Rd, Plain City, OH 43064-9734 | 2009-12-11 |
| 1790985547 | Kimberly Dawn Phillips | Occupational Therapist | 222 Leon Dr, Greenville, NC 27858-9745 | 2007-07-19 |
| 1245394071 | Kimberly Phillips | Social Worker | 416 Fairley St, Suite E, Laurinburg, NC 28352-3612 | 2006-12-19 |
| 1396855177 | Kimberly Dawn Phillips | Nurse Practitioner | 3100 Maccorkle Ave Se Ste 700, Charleston, WV 25304-1230 | 2006-08-30 |
| 1790705937 | Kimberly Phillips | Nurse Practitioner | 1941 Johnson, Suite 301, San Luis Obispo, CA 93401-4175 | 2006-07-20 |
| 1497786933 | Kimberly Anne Phillips | Nurse Practitioner | 7670 W Sahara Ave Ste 2, Las Vegas, NV 89117-2751 | 2006-07-05 |
| 1457359192 | Kimberly Ann Phillips | Family Medicine | 1312 E Lumsden Rd, Brandon, FL 33511-6717 | 2005-07-07 |
| Street Address |
53 EAGLE STREET ADMINISTRATIVE OFFICES |
| City | PITTSFIELD |
| State | MA |
| Zip Code | 01201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588837215 | Eileen Helen Terwilliger | Counselor | 53 Eagle Street, Pittsfield, MA 01201 | 2008-04-02 |
| 1750694105 | Brian White Harrison Sr. | Social Worker | 53 Eagle Street, Ist Floor, Pittsfield, MA 01201-1201 | 2010-07-14 |
| 1023266186 | Rose Mary Monka | Counselor | 53 Eagle Street, Mspcc, Pittsfield, MA 01201-0120 | 2008-09-03 |
| 1285897330 | Heather Marie Twing | Marriage & Family Therapist | 53 Eagle Street, Mspcc, Pittsfield, MA 01201-0000 | 2008-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292326 | Dominic Boudini | Social Worker | Berkshire Medical Center Jones IIi, 777 North Street, Pittsfield, MA 01201 | 2018-10-25 |
| 1770066433 | Michelle P Racicot | Physical Therapy Assistant | 144 Brighton Ave, Pittsfield, MA 01201 | 2018-09-10 |
| 1659853927 | Janis W. Zimbler | Social Worker | 49 Kenilworth Street, Pittsfield, MA 01201 | 2018-09-04 |
| 1528545225 | Claudia L Coplan | Social Worker | 262 Appleton Avenue, Pittsfield, MA 01201 | 2018-07-25 |
| 1255852083 | Vandana Sethi | Dentist | Chp Neighborhood Dental Center, 510 North Street, Suite 1, Pittsfield, MA 01201 | 2017-07-01 |
| 1770011819 | Vladimir Nazarov | Dentist | 690 Merrill Road, Pittsfield, MA 01201 | 2017-06-02 |
| 1215462254 | Anqi Hu | Dentist | 788 South Street, Pittsfield, Ma 01201, Pittsfield, MA 01201 | 2017-04-27 |
| 1942759162 | Community Health Programs, Inc | Clinic/Center | 510 North St., Pittsfield, MA 01201 | 2016-09-29 |
| 1366990590 | Daniel Pinsky I | Counselor | 877 South Street, Clinical Support Options Suite 200, Pittsfiled, MA 01201 | 2016-09-16 |
| 1275086746 | Berkshire Medical Center, Inc | Substance Abuse Rehabilitation Facility | 48 Kent Ave, Pittsfield, MA 01201 | 2016-08-01 |
| Find all providers in zip 01201 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780233619 | Michelle Lee Slatergoggia | Counselor | 95 Elmer Ave, Pittsfield, MA 01201-8636 | 2019-09-04 |
| 1275995854 | Molly Holmes | Counselor | 7 Loumar Dr, Pittsfield, MA 01201-5932 | 2016-03-23 |
| 1932560109 | Nicole Marie Hebert | Counselor | 877 South St Ste 200, Pittsfield, MA 01201-8243 | 2016-03-15 |
| 1538569868 | Tiffany Henry | Counselor | 120 N Williams Industrial Dr, Pittsfield, IL 62363-1300 | 2014-08-22 |
| 1871892265 | William Pleu | Counselor | 359 Fenn St, Administrative Offices, Pittsfield, MA 01201-5261 | 2011-03-24 |
| 1902111230 | Jessica Caritey | Counselor | 1 Fenn Strett, Administrative Offices, Pittsfield, MA 01201 | 2010-08-11 |
| 1306167432 | Maureen Sweeney | Counselor | 126 Mountain Dr, Pittsfield, MA 01201-7420 | 2010-06-11 |
| 1528381597 | Khadeejah Hassan | Counselor | 20 Edgewood Rd, Pittsfield, MA 01201-3306 | 2010-03-05 |
| 1487982195 | Michael Fitzgerald | Counselor | The Brien Center 1 Fenn St, Administrative Offices, Pittsfield, MA 01201 | 2009-11-19 |
| 1982930772 | Candace Mozzi | Counselor | 19 Richard Dr, Pittsfield, MA 01201-7422 | 2009-10-29 |
| Find all providers in PITTSFIELD | ||||
| City | PITTSFIELD |
| Zip Code | 01201 |
Please comment or provide details below to improve the information on KIMBERLY PHILLIPS.
| 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.