PHYLLIS HOLT VILTZ


Address: 620 Gallatin Pike S, Madison, TN 37115-4013
Phone: 6154604318

PHYLLIS HOLT VILTZ (NPI# 1912052689) 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) 1912052689
Entity Type Individual
Full Name PHYLLIS HOLT VILTZ
Other Name PHYLLIS EDWINA HOLT
Credential SPE
Practice Address 620 Gallatin Pike S
Madison
TN 37115-4013
Mailing Address 1014 Christopher Ln
Ashland City
TN 37015-2823
Practice Telephone 6154604318
Practice Fax Number 6154604308
Mailing Telephone 6157922836
Mailing Fax Number 6156502929
Enumeration Date 2007-01-24
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
PE0000011569 TN Behavioral Health & Social Service Providers

Office Location

Street Address 620 GALLATIN PIKE S
City MADISON
State TN
Zip Code 37115-4013

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316926553 Sue St Clair Nurse Practitioner 620 Gallatin Pike S, Suite 214, Madison, TN 37115-4013 2006-01-16
1356960124 Victoria Ann Fung-a-fat Pharmacist 620 Gallatin Pike S, Madison, TN 37115-4013 2020-04-13
1962035915 Olga Olivia Stanfill Case Manager/Care Coordinator 620 Gallatin Pike S, Madison, TN 37115-4013 2020-02-18
1669010286 Jennifer Janel Gardner Licensed Practical Nurse 620 Gallatin Pike S, Madison, TN 37115-4013 2019-12-13
1619511417 Andrea Santa Maria Counselor 620 Gallatin Pike S, Madison, TN 37115-4013 2019-11-05
1871135921 Jordann Moore Case Manager/Care Coordinator 620 Gallatin Pike S, Madison, TN 37115-4013 2019-10-10
1386293546 Stacy Hansen Technician 620 Gallatin Pike S, Madison, TN 37115-4013 2019-09-10
1528617255 Melba Buchanan Counselor 620 Gallatin Pike S, Madison, TN 37115-4013 2019-09-05
1225686850 Amy Jo Doiel Case Manager/Care Coordinator 620 Gallatin Pike S, Madison, TN 37115-4013 2019-08-27
1023676624 Ann Larose Specialist 620 Gallatin Pike S, Madison, TN 37115-4013 2019-05-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023675212 Kennedy Wayne Germany Jr. Specialist/Technologist 813 Seashell Cove, Madison, TN 37115 2019-05-22
1497211387 Latasha Monique Williams Social Worker Patriot Place (va), 314 Williams Avenue, Ste. 100, Madison, TN 37115 2019-02-15
1659866481 Amanda Elliott Pharmacist 109 Gallatin Rd, Madison, TN 37115 2018-06-25
1760938492 Larry Cox Case Manager/Care Coordinator 620 S. Gallatin Pike, Madison, TN 37115 2016-09-01
1407202799 National Vision, Inc. Technician/Technologist 1785 Gallatin Pike N, Madison, TN 37115 2016-05-05
1992190193 Emily Tibbs Case Manager/Care Coordinator 620 Gallatin Pike, Madison, TN 37115 2015-04-03
1164829982 Laura Boswell Case Manager/Care Coordinator 620 Gallatin Pike South, Madison, TN 37115 2014-11-21
1720498058 Edward Andrew Roberts Chiropractor 1710 Gallatin Pike N, Madison, TN 37115 2014-05-08
1700296217 Lamonia Merritt Student in an Organized Health Care Education/Training Program 645 Cheyenne Blvd, Madison, TN 37115 2014-05-06
1629497656 Corey Joseph Cloud Dentist 500 Lentz Dr Ste 40, Madison, TN 37115 2014-04-07
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Taxonomy Information

Taxonomy Code 103TB0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Cognitive & Behavioral

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720120959 Advanced Psychological Innovations Psychologist 6418 Normandy Ln, Suite 215, Madison, WI 53719-1149 2007-02-13
1548279045 Dolores Kluppel Vetter Psychologist 6401 Odana Rd, Ste A, Madison, WI 53719-1126 2006-08-05
1073813804 Michelle R Gryczkowski Psychologist 6001 Research Park Blvd, Madison, WI 53719-1176 2010-10-27
1982874525 Irene P Bartell Psychologist 6418 Normandy Ln, Suite 215, Madison, WI 53719-1149 2008-03-11
1962574665 Jeanne Marie Behrend Psychologist 5610 Medical Circle, Suite 25, Madison, WI 53719-1295 2006-11-15
1538195607 Steven R Stein Psychologist 700 Ray O Vac Dr, Madison, WI 53711 2006-06-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265058051 Judy Mier-chairez Psychologist 155 Franklin Rd Ste 135, Brentwood, TN 37027-4646 2020-06-17
1295387868 Jigsaw Behavioral Academy Psychologist 2175 Durham Ave, Memphis, TN 38127-3409 2019-07-12
1639331168 Julie Ann Demarco Psychologist 8284 Clinton Way Ln, Cordova, TN 38018-6305 2008-06-26
1669633384 Susan Kay Fuhr Psychologist 141 N Martinwood Rd, Your Journeys 104-7, Knoxville, TN 37923-5137 2008-06-25
1225208531 Michelle Mcatee Psychologist 109 Holiday Ct Ste D6, Franklin, TN 37067-1311 2008-03-04
1598934762 Dara T. Kline Psychologist 1637 Niggs Creek Rd, Oneida, TN 37841-6417 2008-02-21
1891975397 Dawn M Stewart Psychologist 214 S Greer St, Memphis, TN 38111-3434 2007-11-13
1346420809 Jeffrey Brian Smith Psychologist 4055 N Park Loop Ste 1000, Memphis, TN 38152-4869 2007-11-13
1578767208 Karen Swoboda Psychologist 106 Parkland Cir, Clarksville, TN 37043-6846 2007-06-14
1902940349 The Habilitation Corporation Psychologist 1396 Beaver Trail Dr, Cordova, TN 38016-9601 2007-02-19
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Competitor

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City MADISON
Zip Code 37115

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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