DAVID DEVIN PHILLIPS (NPI# 1972001774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972001774 |
| Entity Type | Individual |
| Full Name | DAVID DEVIN PHILLIPS |
| Practice Address |
1847 Mott Ave Far Rockaway NY 11691-4201 |
| Mailing Address |
2129 Atlantic Ave Apt 1 Brooklyn NY 11233-3448 |
| Practice Telephone | 7183376850 |
| Practice Fax Number | 3472469670 |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2018-01-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497158257 | David Scott Phillips | Dentist | 710 12th Street Se, Auburn, WA 98002 | 2014-10-07 |
| 1194165688 | David Alexander Phillips | Family Medicine | 6410 Main St Apt 107, Miami Lakes, FL 33014-2218 | 2013-06-27 |
| 1720425192 | David Ryan Phillips | Otolaryngology | 721 W 13th St Ste 325, Jasper, IN 47546-1857 | 2013-05-26 |
| 1265777247 | David Brooks Phillips | Marriage & Family Therapist | 2023 N St Ste 100, Sacramento, CA 95811-4240 | 2012-12-03 |
| 1770712812 | David Matthew Phillips | Registered Nurse | 1222 South Patterson Blvd, Dayton, OH 45402 | 2009-07-10 |
| 1730357583 | David Paul Phillips | Counselor | 803 W Bayou Pines Dr, Suite F, Lake Charles, LA 70601-7096 | 2008-02-14 |
| 1730203696 | David M Phillips | Dentist | 2110 Enterprise St Se Ste 201, Kentwood, MI 49508-5050 | 2007-03-18 |
| 1033299508 | David Robert Phillips | Chiropractor | 948a E Broad St, Columbus, OH 43205-1131 | 2006-10-17 |
| 1932148517 | David Anthony Phillips | Chiropractor | 5779 Broadway St, Lancaster, NY 14086-2360 | 2006-06-06 |
| 1407894777 | David A Phillips | Radiology | 55 Lake Ave North, Umass Memorial/radiology, Worcester, MA 01655 | 2006-06-02 |
| Street Address |
1847 MOTT AVE |
| City | FAR ROCKAWAY |
| State | NY |
| Zip Code | 11691-4201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346354123 | Alexandra Garrity | Social Worker | 1847 Mott Ave, Far Rockaway, NY 11691-4201 | 2006-08-18 |
| 1770190670 | Aileen R Denis | Social Worker | 1847 Mott Ave, Far Rockaway, NY 11691-4220 | 2020-09-25 |
| 1437778891 | Jolika N/a Ullah | Counselor | 1847 Mott Ave, Far Rockaway, NY 11691-4220 | 2020-04-15 |
| 1306488556 | Mondy Julisse | Counselor | 1847 Mott Ave, Far Rockaway, NY 11691-4201 | 2019-10-09 |
| 1477111532 | Anne Marie Grissler | Registered Nurse | 1847 Mott Ave, Far Rockaway, NY 11691-4201 | 2019-06-04 |
| 1275098014 | Patrice K Jamerson | Counselor | 1847 Mott Ave, Far Rockaway, NY 11691-4201 | 2019-02-06 |
| 1447733340 | Lauren Elissa Levin | Social Worker | 1847 Mott Ave, Far Rockaway, NY 11691-4201 | 2018-09-07 |
| 1881185262 | Sasha Deshong | Registered Nurse | 1847 Mott Ave, Far Rockaway, NY 11691-4201 | 2018-05-22 |
| 1699262220 | Nouelle Dorrow | Social Worker | 1847 Mott Ave, Far Rockaway, NY 11691-4201 | 2018-04-19 |
| 1598264947 | Alexandra Paul | Counselor | 1847 Mott Ave, Far Rockaway, NY 11691-4201 | 2018-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487261772 | Jalpa Dholaria | Physical Therapist | 265 Beach 20th Street, Far Rockaway, NY 11691 | 2020-09-30 |
| 1578179529 | Sneha Satheesh Menon | Physical Therapist | 265 Beach 20th Street Far Rockaway, Queens, NY 11691 | 2020-09-16 |
| 1558997676 | Manuel Garcia Morell | Student in an Organized Health Care Education/Training Program | 327 Beach 19 Th St, Far Rockaway, Queens, NY 11691 | 2020-03-20 |
| 1750927992 | Barbrara Graham | Licensed Practical Nurse | 143 Baech 26th Street, Apt 2, Far Rockaway, NY 11691 | 2019-11-22 |
| 1639735665 | Ernest Okwuonu | Student in an Organized Health Care Education/Training Program | 327 Beach 19th St., Rockaway, NY 11691 | 2019-05-15 |
| 1700342433 | Reliable Care Consulting LLC | Case Management | 1858 Cornaga Ave, 2nd Fl., Far Rockaway, NY 11691 | 2019-02-19 |
| 1336604008 | Menaka Abeyewardene | Student in an Organized Health Care Education/Training Program | St. John's Episcopal Hospital, 327 Beach 19th Street, Far Rockaway, NY 11691 | 2019-02-06 |
| 1346733441 | Keisha Taylor-glanville | Social Worker | 20-2 Seagrit Blvd., Queens, NY 11691 | 2018-06-13 |
| 1336631035 | Michael Y Ivry Dds PC | Oral & Maxillofacial Surgery | 2550 Seagirt Blvd, Far Rockaway, NY 11691 | 2018-05-30 |
| 1992202071 | Angel David Aponte | Student in an Organized Health Care Education/Training Program | 327 Beach 19st, Internal Medicine Dpt, Far Rockaway, NY 11691 | 2018-04-06 |
| Find all providers in zip 11691 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700404001 | Kathy Annett Gardini | Peer Specialist | 1914 Brookhaven Ave, Far Rockaway, NY 11691-3626 | 2020-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385896 | Gary N/a Peluso | Peer Specialist | 62 Allan Dr, East Norwich, NY 11732-1203 | 2020-10-28 |
| 1043810138 | Ryan Hope Mcgovern | Peer Specialist | 950 S Oyster Bay Rd Bay Road, Hicksville, NY 11801-3510 | 2020-10-28 |
| 1669070207 | Sayeeda Zorita Daniels | Peer Specialist | 111 Woodlawn Ave Apt 2, Buffalo, NY 14209-1713 | 2020-10-15 |
| 1801409842 | Alexander Mannino | Peer Specialist | 419 Palisade Ave, Yonkers, NY 10703-2610 | 2020-08-28 |
| 1053924522 | Graham Joshua Anderson | Peer Specialist | 64 Linwood Ave., Buffalo, NY 14209 | 2020-08-25 |
| 1467064832 | Kenneth Robert Lewis | Peer Specialist | 320 N Goodman St Ste 202320, Rochester, NY 14607-1185 | 2020-08-18 |
| 1669099826 | Moseka Turkessa James | Peer Specialist | 1220 Remsen Ave # 1, Brooklyn, NY 11236-3925 | 2020-07-02 |
| 1174140545 | Mercedes Busby | Peer Specialist | 118 Brauncroft Ln, Amherst, NY 14226-4957 | 2020-07-01 |
| 1457977258 | Carla J Alomar | Peer Specialist | 414 Martin Rd, Lackawanna, NY 14218-2830 | 2020-06-18 |
| 1225659923 | Renee S Peterkin | Peer Specialist | 1016 Ralph Ave, Brooklyn, NY 11236-1258 | 2020-05-04 |
| Find all providers with the same taxonomy | ||||
| City | FAR ROCKAWAY |
| Zip Code | 11691 |
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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.