DR. RICKY JOE PHILLIPS (NPI# 1790057693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790057693 |
| Entity Type | Individual |
| Full Name | DR. RICKY JOE PHILLIPS |
| Credential | PH.D., LCC |
| Practice Address |
4346 Terrace Ln Se Kentwood MI 49512-5602 |
| Practice Telephone | 6164273212 |
| Mailing Telephone | 6164273212 |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2012-02-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
1137 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437261203 | Ricky D Phillips | Chiropractor | 5150 Graves Ave Ste 7, San Jose, CA 95129-5007 | 2006-08-31 |
| 1942262522 | Ricky Lawton Phillips | Emergency Medicine | 1703 Vestwood Hills Dr, Vestavia, AL 35216-1367 | 2006-04-06 |
| 1477744894 | Ricky Wayne Phillips | Registered Nurse | 3801 Houma Blvd, Suite 100, Metairie, LA 70006-4165 | 2007-08-09 |
| Street Address |
4346 TERRACE LN SE |
| City | KENTWOOD |
| State | MI |
| Zip Code | 49512-5602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649757071 | St. Lukes Primary Care | Family Medicine | 5300 Patterson Ave Se Ste 1-d, Grand Rapids, MI 49512 | 2018-07-27 |
| 1013493733 | Pharmascript of Michigan Gr LLC | Pharmacy | 2661 29th St. Se Suite A, Grand Rapids, MI 49512 | 2018-07-16 |
| 1245736040 | Cassandra Slater | Technician, Other | 2925 Breton Rd Se, Grand Rapids, MI 49512 | 2018-04-02 |
| 1235632704 | John Mitchell Tanja | Occupational Therapist | 3350 Broadmoor Avenue Se, Grand Rapids, MI 49512 | 2018-03-12 |
| 1952829855 | Sarah Harlow | Physical Therapist | 2951 44th St Se, Kentwood, MI 49512 | 2017-08-31 |
| 1194248815 | Melinda Huizenga | Registered Nurse | 5300 Patterson Ave Se Ste 125, Grand Rapids, MI 49512 | 2017-07-25 |
| 1659812931 | Frantzie Pierre | Counselor | 3300 S Creek Dr Se Apt 201, Kentwood, MI 49512 | 2017-03-20 |
| 1104128602 | Hope Network Behavioral Health Services | Psychiatry & Neurology | 3361 36th Street, Grand Rapids, MI 49512 | 2010-12-03 |
| 1518282631 | Melanie Anne Hogeterp | Social Worker | 3180 East Paris Se, Kentwood, MI 49512 | 2010-03-31 |
| 1013147495 | Ardean Beth Brock-vanderwall | Counselor | 2828 Kraft Ave., Grand Rapids, MI 49512 | 2009-07-20 |
| Find all providers in zip 49512 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851868582 | Community Veterans Services Inc | Counselor | 163 Tennyson, Highland Park, MI 48203 | 2018-10-31 |
| 1215429212 | Debra Deanes | Counselor | 30233 Southfiels Rd, 203, Southfield, MI 48076 | 2018-06-05 |
| 1629589171 | Crystal Hudson | Counselor | 32e, 1200 N Telegraph Rd, Pontiac, MI 48341 | 2017-10-23 |
| 1760935381 | Lerrlyn Nelson | Counselor | 17101 Albion St, Detroit, MI 48234-3808 | 2016-08-01 |
| 1144688235 | David Ray Taylor | Counselor | 8299 Silver Ct, Lambertville, MI 48144-8623 | 2016-02-03 |
| 1487079943 | Lowell Gisel | Counselor | 1705 S Saginaw Rd, Midland, MI 48640-5633 | 2014-02-20 |
| 1316362932 | Keith Lohman | Counselor | 6276 N Riverview Dr, Kalamazoo, MI 49004-9601 | 2014-02-19 |
| 1780029264 | Breaking The Links | Counselor | 630 Schultz St, Sparta, Mi, Sparta, MI 49345-9426 | 2013-05-09 |
| 1013283027 | Melinie Lynn Cappello | Counselor | 276 S Maple St, Zeeland, MI 49464-1914 | 2012-03-24 |
| 1295054302 | Linda Lou Millek | Counselor | 18575 32nd St, Gobles, MI 49055 | 2010-05-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. RICKY JOE 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.