MS. TRACY PHILLIPS (NPI# 1689873754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689873754 |
Entity Type | Individual |
Full Name | MS. TRACY PHILLIPS |
Practice Address |
3707 Sunset Lane Antioch CA 94509 |
Mailing Address |
3707 Sunset Ln Antioch CA 94509-6101 |
Practice Telephone | 9255520124 |
Enumeration Date | 2007-07-17 |
Last Update Date | 2007-07-17 |
Gender Code | F |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629245998 | Tracy Lynn Phillips | Licensed Practical Nurse | 5620 W Birch Harbor Dr, Wasilla, AK 99654-9430 | 2008-05-14 |
1558464990 | Tracy T Phillips | Obstetrics & Gynecology | 2089 Vale Road, Suite 10, San Pablo, CA 94806 | 2006-09-07 |
1619960408 | Tracy A Phillips | Optometrist | 336 El Camino Real, San Carlos, CA 94070-2408 | 2005-08-26 |
1679571863 | Tracy Thomas Phillips | Family Medicine | 103 Frankie Ln, White Hall, AR 71602-2685 | 2005-07-12 |
1770073702 | Tracy Lanae Phillips | Counselor | 525 Estudillo Ave, San Leandro, CA 94577-4684 | 2018-05-15 |
1508013293 | Tracy B Phillips | Optometrist | 1733 2nd St S, Meridian, MS 39301-4514 | 2008-08-25 |
1588876866 | Tracy Lee Phillips | Dentist | 8015 164th St, Jamaica, NY 11432-1116 | 2007-05-07 |
1578648309 | Tracy Elizabeth Phillips | Social Worker | 2795 Richmond Ave, Staten Island, NY 10314-5857 | 2006-10-27 |
1376527051 | Tracy B Phillips | Pediatrics | 258 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2005-12-06 |
Street Address |
3707 SUNSET LANE |
City | ANTIOCH |
State | CA |
Zip Code | 94509 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780725655 | Mary Powell | Counselor | 3707 Sunset Lane, Antioch, CA 94509-6101 | 2007-02-12 |
1447611777 | Michael Berry | Counselor | 3707 Sunset Lane, Antioch, CA 94509 | 2016-03-15 |
1598049363 | Marie Elizabeth Goess-saurau | Psychologist | 3707 Sunset Lane, Baart/cdp, Antioch Clinic, Antioch, CA 94509 | 2011-09-28 |
1124218193 | Wayne Sanders | Counselor | 3707 Sunset Lane, Antioch, CA 94509 | 2007-07-26 |
1225161847 | Debra Rich | Licensed Vocational Nurse | 3707 Sunset Lane, Antioch, CA 94509-6101 | 2007-03-13 |
1225172752 | Linda Marie Crosley | Counselor | 3707 Sunset Lane, Antioch, CA 94509 | 2007-02-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932733243 | A Step Above, LLC | Clinic/Center | 3648 Delta Fair Blvd., Antioch, CA 94509 | 2020-02-25 |
1134751167 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 3600 Delta Fair Blvd, Antioch, CA 94509 | 2020-02-07 |
1962040865 | Melay Goitom | Behavioral Analyst | 3104 Delta Fair Boulevard, Antioch, CA 94509 | 2019-12-11 |
1518525062 | James Joseph Cook | Counselor | 624 W. 14th Street B, Antioch, CA 94509 | 2019-05-30 |
1922576438 | Wazma Matiee | Behavioral Analyst | 2009 Asilomar Dr., Antioch, CA 94509 | 2018-11-02 |
1346722360 | Dharma Rachelle Yancy | Behavioral Analyst | 3401 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
1912489931 | Cristian Cruz | Behavioral Analyst | 3100-3104 Delta Fair Blvd, Antioch, CA 94509 | 2018-09-06 |
1780174052 | Melissa Sue Rossi | Counselor | 3701 Lone Tree Way Ste 7a, Antioch, CA 94509 | 2018-05-13 |
1033638085 | Elizabeth Marie Artola | Counselor | 1915 D Street, Antioch, CA 94509 | 2017-09-11 |
1144748690 | Andrea Michelle Newberry | Counselor | 55 E.18th St, Antioch, CA 94509 | 2017-09-05 |
Find all providers in zip 94509 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861646036 | Zahra Rooshen | Counselor | 5506 Dawnview Way, Antioch, CA 94531-8616 | 2008-11-13 |
1023213311 | Sue G Mankini | Counselor | 2828 Filbert St, Antioch, CA 94509-7336 | 2007-06-18 |
1689875510 | Erion L Moore I | Counselor | 1728 Sanger Peak Way, Antioch, CA 94531-9127 | 2007-05-29 |
1811101843 | Agueda Philbin | Counselor | 300 L St, Antioch, CA 94509-1159 | 2007-05-09 |
1962624734 | Lendsey Wayne Busby | Counselor | 1915 D St, Antioch, CA 94509-2571 | 2007-05-02 |
1801924576 | Felisa D Gaffney | Counselor | 3700 Delta Fair Blvd Ste 210, Antioch, CA 94509 | 2007-03-02 |
1780725655 | Mary Powell | Counselor | 3707 Sunset Lane, Antioch, CA 94509-6101 | 2007-02-12 |
1992318869 | Skyler Sanderson | Counselor | 1915 D St, Antioch, CA 94509-2571 | 2020-08-28 |
1861001216 | Toby Martin Disney | Counselor | 1408 A St, Antioch, CA 94509-2331 | 2020-07-30 |
1598390973 | Brittney Leigh Smith | Counselor | 3707 Sunset Ln, Antioch, CA 94509-6101 | 2020-03-06 |
Find all providers in ANTIOCH |
Please comment or provide details below to improve the information on MS. TRACY 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.