MISS CATRIN TREVENA PHILLIPS (NPI# 1821475211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821475211 |
| Entity Type | Individual |
| Full Name | MISS CATRIN TREVENA PHILLIPS |
| Other Name | MISS CATRIN TREVENA PHILLIPS |
| Credential | RADT1 |
| Practice Address |
9370 Marlemont Cir Elk Grove CA 95758-7605 |
| Practice Telephone | 9166913131 |
| Mailing Telephone | 9165319130 |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2015-05-05 |
| 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) |
R1193410215 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL | 1215287933 | 01 |
| Street Address |
9370 MARLEMONT CIR |
| City | ELK GROVE |
| State | CA |
| Zip Code | 95758-7605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244208 | Obia Njoku | Nurse Practitioner | 9105 Bruceville Rd Ste 1a #580405, Elk Grove, CA 95758 | 2020-01-14 |
| 1992362362 | Kimberly Abrahamson | Student in an Organized Health Care Education/Training Program | 9412 Big Horn Dr #6, Elk Grove, CA 95758 | 2019-05-21 |
| 1447737333 | Elk Grove Rehab & Counseling Center | Counselor | 7807 Laguna Blvd., Suite 480, Elk Grove, CA 95758 | 2018-07-24 |
| 1114424579 | Arielle Mize | Dietitian, Registered | 8161 Sheldon Road, #103, Elk Grove, CA 95758 | 2018-04-11 |
| 1154822609 | Eston Garcia | Behavior Technician | 2366 Martime Drive, Elk Grove, CA 95758 | 2018-02-21 |
| 1912406364 | Nicole Torneros | Behavior Technician | 2336 Maritime Drive, Elk Grove, CA 95758 | 2018-02-12 |
| 1134628712 | Northern California Vasectomy | Family Medicine | 9045 Bruceville Rd Ste 100b, Elk Grove, CA 95758 | 2018-02-08 |
| 1083134399 | Uchechi Mbonu | Assisted Living Facility | 7019 Mcgill Court, Elk Grove, CA 95758 | 2017-06-27 |
| 1922557362 | Muhanad Aliakbar | Driver | 8275 Oakbriar Cir, Elk Grove, CA 95758 | 2016-09-27 |
| 1063868123 | Teresa Vinciguerra | Marriage & Family Therapist | 9412 Elk Horn Blvd, Suite 6, Elk Grove, CA 95758 | 2016-05-09 |
| Find all providers in zip 95758 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720640394 | Kelly Perez | Counselor | 9150 Waterman Rd Apt 116, Elk Grove, CA 95624-5079 | 2019-07-03 |
| 1447737333 | Elk Grove Rehab & Counseling Center | Counselor | 7807 Laguna Blvd., Suite 480, Elk Grove, CA 95758 | 2018-07-24 |
| 1558818039 | Shayla C Harris | Counselor | 9355 E Stockton Blvd, Elk Grove, CA 95624-9476 | 2016-09-01 |
| 1154878742 | Dorian Elaine Buckner | Counselor | 9355 E. Stockton Blvd., Elk Grove, CA 95624 | 2016-09-01 |
| 1679930390 | Sean Donovan | Counselor | 9451 Havenview Way, Elk Grove, CA 95624-6032 | 2016-01-26 |
| 1063877132 | Brian Lyttle I | Counselor | 9514 Coney Island Cir, Elk Grove, CA 95758-3646 | 2015-12-16 |
| 1508244807 | Maria De Los Angeles Garcia | Counselor | 10423 Canadeo Cir, Elk Grove, CA 95757-3549 | 2015-05-07 |
| 1104228980 | Anthony J Scuderi | Counselor | 9964 Winkle Circle, Elk Grove, CA 95757-1904 | 2014-09-23 |
| 1861435547 | George Moschke | Counselor | 8981 Park Meadows Dr, Elk Grove, CA 95624-2720 | 2006-06-13 |
| 1386825883 | Shevonne Marie Radich | Counselor | 8841 Williamson Dr Ste 40, Elk Grove, CA 95624-1800 | 2007-11-26 |
| Find all providers in ELK GROVE | ||||
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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.