VIVIEN JOHNETTE PHILLIPS (NPI# 1770640179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770640179 |
| Entity Type | Individual |
| Full Name | VIVIEN JOHNETTE PHILLIPS |
| Credential | PSY.D. |
| Practice Address |
195 Ne Gilman Blvd Suite 202 Issaquah WA 98027-2940 |
| Mailing Address |
26332 135th Ave Se Kent WA 98042-3518 |
| Practice Telephone | 4253918611 |
| Mailing Telephone | 2536308118 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1265 | WA | Behavioral Health & Social Service Providers |
| Street Address |
195 NE GILMAN BLVD SUITE 202 |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98027-2940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281840 | Cascade Hand & Orthopedic Rehab, Inc. | Clinic/Center | 1301 4th Avenue Nw, Suite 200, Issaquah, WA 98027 | 2020-10-01 |
| 1700494630 | Genevieve S Ward | Counselor | 22500 Se 64th Place, Building G, Suite 150, Issaquah, WA 98027 | 2020-07-16 |
| 1891338604 | Amy Mezulis | Psychologist | 1740 Nw Maple St. #210, Issaquah, WA 98027 | 2019-10-24 |
| 1578055083 | Vivian Yu-en Hsiao | Physical Therapist | 1301 4th Ave Nw Ste 300, Issaquah, WA 98027 | 2018-05-31 |
| 1831698000 | Peter James Carlson | Physical Therapist | 22500 Se 64th Place, Building G, Suite 115, Issaquah, WA 98027 | 2018-02-02 |
| 1902323553 | David Robert Primrose | Dentist | 600 Nw Gilman Blvd Ste B, Issaquah, WA 98027 | 2017-08-24 |
| 1083135446 | Tara Rose | Massage Therapist | 680 Nw Gilman Blvd., Ste. A, Issaquah, WA 98027 | 2017-07-06 |
| 1295276194 | Amy Davenport | Occupational Therapist | 1871 Nw Gilman Blvd #2, Issaquah, WA 98027 | 2017-03-13 |
| 1942751771 | Krista L Gibbons | Counselor | 1700 Nw Blvd, Suite #200, Issaquah, WA 98027 | 2016-10-17 |
| 1376903237 | Kari Wathen Torres | Occupational Therapist | 710 Nw Juniper St Ste 100, Issaquah, WA 98027 | 2016-03-03 |
| Find all providers in zip 98027 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891338604 | Amy Mezulis | Psychologist | 1740 Nw Maple St. #210, Issaquah, WA 98027 | 2019-10-24 |
| 1427249895 | Patrick Beau Reilly | Psychologist | 1871 Nw Gilman Blvd, Issaquah, WA 98027-8116 | 2007-08-09 |
| 1467501734 | John Sutton-gamache | Psychologist | 5837 221st Pl Se, Issaquah, WA 98027-8917 | 2007-01-09 |
| 1679658496 | Susan Katalin Toth Patiejunas | Psychologist | 1700 Nw Gilman Blvd, Suite 205, Issaquah, WA 98027-5349 | 2006-10-27 |
| 1912980343 | Susan B Sterling | Psychologist | 310 3rd Ave Ne, #122, Issaquah, WA 98027-3300 | 2005-11-21 |
| 1477535789 | Georganna R Sedlar | Psychologist | 1740 Nw Maple St Ste 210, Issaquah, WA 98027 | 2005-11-14 |
| 1164057345 | Seth Carl Courrege | Psychologist | 1700 Nw Gilman Blvd Ste 205, Issaquah, WA 98027-5364 | 2020-03-07 |
| 1942859061 | David N Porter | Psychologist | 1495 Nw Gilman Blvd Ste 11, Issaquah, WA 98027-5328 | 2019-09-11 |
| 1366913048 | Jessica Stark | Psychologist | 450 Nw Gilman Blvd Ste 201, Issaquah, WA 98027-2722 | 2018-12-06 |
| 1194277350 | Valerie Hewell | Psychologist | 1740 Nw Maple St, Ste 210, Issaquah, WA 98027-8127 | 2016-11-03 |
| Find all providers in ISSAQUAH | ||||
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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.