PHILLIP EDWARD CALDWELL IV


Address: 2445 Albatross Way, #101, Sacramento, CA 95815-2878
Phone: 9166310771

PHILLIP EDWARD CALDWELL IV (NPI# 1891999561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891999561
Entity Type Individual
Full Name PHILLIP EDWARD CALDWELL IV
Credential REGISTER MFT INTERN
Practice Address 2445 Albatross Way
#101
Sacramento
CA 95815-2878
Mailing Address Po Box 1127
Walnut Grove
CA 95690-1127
Practice Telephone 9166310771
Mailing Telephone 9164770028
Enumeration Date 2007-06-14
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers

Other Providers PHILLIP CALDWELL

NPI Name Taxonomy Address Enumeration
1073677233 Phillip Gentry Caldwell Social Worker 720 N Saint Asaph St, Alexandria, VA 22314-1912 2006-12-21
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Office Location

Street Address 2445 ALBATROSS WAY
#101
City SACRAMENTO
State CA
Zip Code 95815-2878

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053334581 Cindy L Swenson Social Worker 2445 Albatross Way, Sacramento, CA 95815-2878 2006-07-25
1407021587 Roxanne Gay Lord Counselor 2445 Albatross Way, Sacramento, CA 95815-2878 2008-04-29
1205962859 Rebecca A Buchmiller Jr. Case Manager/Care Coordinator 2445 Albatross Way, Suite101, Sacramento, CA 95815-2878 2007-02-26
1770672602 Triad Family Services Community/Behavioral Health 2445 Albatross Way, Suite 101, Sacramento, CA 95815-2878 2006-10-11
1720173297 Janelle Harris Gerber Marriage & Family Therapist 2445 Albatross Way, Sacramento, CA 95628 2006-10-03

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City SACRAMENTO
Zip Code 95815

Improve Information

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Dataset Information

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.

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