CHARLENE PHILLIPS (NPI# 1063019784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063019784 |
Entity Type | Individual |
Full Name | CHARLENE PHILLIPS |
Practice Address |
702 Woodlytown Rd Magnolia DE 19962-1622 |
Practice Telephone | 3025731231 |
Enumeration Date | 2020-10-06 |
Last Update Date | 2020-10-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
DE | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DE | 2505446377 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215398946 | Charlene Phillips | Prosthetist | 5439 Yadkin Rd, Ste 114, Fayetteville, NC 28303-6014 | 2016-03-08 |
Street Address |
702 WOODLYTOWN RD |
City | MAGNOLIA |
State | DE |
Zip Code | 19962-1622 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750401543 | Jessica Lucille Weaver | Dentist | 436 Mdg, 300 Tuskegee Blvd, Dover Afb, DE 19962 | 2007-03-29 |
1588936355 | Guillermo J Rosa | Pharmacist | 754 Ponderosa Dr, Magnolia, DE 19962-1140 | 2012-02-08 |
1316496318 | Scott M Butler | Nurse Practitioner | 431 Fieldbrook Dr, Magnolia, DE 19962-1481 | 2016-10-02 |
1801248166 | Emily White | Social Worker | 154 Fieldbrook Ln, Magnolia, DE 19962-1487 | 2016-07-11 |
1720481948 | Ivan Luke West Sr. | Physical Therapy Assistant | 175 Cider Run, Magnolia, DE 19962-1667 | 2014-10-01 |
1740897073 | Darlene Cunningham | Psychologist | 128 Glenn Forest Rd, Magnolia, DE 19962-1702 | 2020-09-30 |
1477764645 | Michelle Lynn Hardy | Registered Nurse | 1311 Millchop Ln, Magnolia, DE 19962-1750 | 2007-05-26 |
1942670112 | Justina Williams | Registered Nurse | 662 Quaker Hill Rd, Magnolia, DE 19962-2209 | 2015-10-01 |
1700437746 | Dorothy Nkongho Eyong | Nurse Practitioner | 775 Tullamore Ct, Magnolia, DE 19962-2621 | 2019-09-20 |
1477881456 | Brianne Reed | Skilled Nursing Facility | 387 Glenn Forest Rd, Magnolia, DE 19962-2729 | 2009-12-02 |
Find all providers in zip 19962 |
Taxonomy Code | 103TM1800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Mental Retardation & Developmental Disabilities |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841897048 | Farida Abdalla | Psychologist | 529 W Birdie Ln, Magnolia, DE 19962-3116 | 2020-10-01 |
1740897073 | Darlene Cunningham | Psychologist | 128 Glenn Forest Rd, Magnolia, DE 19962-1702 | 2020-09-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043811037 | Cynthia Baumer | Psychologist | 27267 Murrock Dr, Seaford, DE 19973-5978 | 2020-11-05 |
1396345377 | Doris Donaway | Psychologist | 17 Merganser Rd Lot 95, Georgetown, DE 19947-9552 | 2020-10-28 |
1457950040 | Krishawna Hines | Psychologist | 88 Morris Dr, Dover, DE 19901-4440 | 2020-10-23 |
1063011641 | Annie Beach | Psychologist | 22314 Raven Cir, Lincoln, DE 19960-4027 | 2020-10-23 |
1376142158 | Rainey Long | Psychologist | 148 Quails Nest Dr, Dover, DE 19904-5578 | 2020-10-22 |
1003415985 | Ruth Maguta | Psychologist | 107 Dasher Ave, Bear, DE 19701-1193 | 2020-10-21 |
1447859442 | Ruth Muli | Psychologist | 32 Gershwin Cir, Newark, DE 19702-3039 | 2020-10-21 |
1275132284 | Jacklyn Brown | Psychologist | 454 Brockton Dr, Middletown, DE 19709-8369 | 2020-10-21 |
1235737800 | Tarrius Hodge | Psychologist | 7 Vincent Ct, Bear, DE 19701-1334 | 2020-10-15 |
1023616570 | Karen Lyles | Psychologist | 215 Labrador Ln, Townsend, DE 19734-9036 | 2020-10-15 |
Find all providers with the same taxonomy |
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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.