DR. KELLEY L PHILLIPS


Address: 875 W Moreno Ave, Colorado Springs, CO 80905-1731
Phone: 7195726100

DR. KELLEY L PHILLIPS (NPI# 1124062443) 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) 1124062443
Entity Type Individual
Full Name DR. KELLEY L PHILLIPS
Credential KELLEY PHILLIPS MD
Practice Address 875 W Moreno Ave
Colorado Springs
CO 80905-1731
Mailing Address 3322 Dent Pl Nw
Washington
DC 20007-2712
Practice Telephone 7195726100
Mailing Telephone 2023378051
Mailing Fax Number 2023384436
Enumeration Date 2006-06-16
Last Update Date 2019-02-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
DR.0061894 CO Allopathic & Osteopathic Physicians
N 2084P0800X Psychiatry & Neurology
Specialization: Psychiatry
MD13012 DC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MD BCBS MD 60484701 01
ND RR MEDICARE ND P00479398 01
VA 010206758 05
DC BCBS DC G396-0044 01
IA RR MEDICARE IA P00356148 01
VA BCBS VA 185693 01
DC RR MEDICARE X P00384921 01
IA 0488015 05
ND 13831 05
DE RR MEDICARE S P00384921 01
MD 410407200 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
3322 Dent Pl Nw, Washington, DC 200072712 2023378051 2023384436

Other Providers KELLEY PHILLIPS

NPI Name Taxonomy Address Enumeration
1306361431 Kelley Phillips Counselor 5013 Pallas Court, Fort Worth, TX 76123 2017-08-09
1639593973 Kelley Phillips Speech-Language Pathologist 14060 Blosser Rd, Sherwood, OH 43556-9500 2014-02-06
1124555487 Kelley Phillips Physical Therapist 1575 Bowers Ln, Zanesville, OH 43701 2017-05-17
1174579403 Kelley J Phillips Emergency Medicine 3500 Gaston Ave, Dallas, TX 75246-2096 2006-05-26
1447226733 Kelley Phillips Physician Assistant 601 John St, Suite M124, Kalamazoo, MI 49007-5341 2006-02-27

Office Location

Street Address 875 W MORENO AVE
City COLORADO SPRINGS
State CO
Zip Code 80905-1731

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760474944 Helen Hwei Ling Lin Psychiatry & Neurology 875 W Moreno Ave, Colorado Springs, CO 80905-1731 2005-08-16
1053934562 Jessica Strickland Counselor 875 W Moreno Ave, Colorado Springs, CO 80905-1731 2020-05-19
1427681303 Christin Robin Redfield Counselor 875 W Moreno Ave, Colorado Springs, CO 80905-1731 2020-02-19
1093345753 Consuelo Mockerman Counselor 875 W Moreno Ave, Colorado Springs, CO 80905-1731 2020-01-22
1376188847 Aspenpointe Inc Dba Health Services Clinic/Center 875 W Moreno Ave, Colorado Springs, CO 80905-1731 2019-11-08
1629635719 Jami Gonzales Nurse Practitioner 875 W Moreno Ave, Colorado Springs, CO 80905-1731 2019-05-23
1275094328 John Favara Counselor 875 W Moreno Ave, Colorado Springs, CO 80905-1731 2019-03-29
1699236869 Rebecca Nan Mccay Registered Nurse 875 W Moreno Ave, Colorado Springs, CO 80905-1731 2019-03-28
1346709763 Hayley Greeno Counselor 875 W Moreno Ave, Colorado Springs, CO 80905-1731 2019-03-15
1245703784 Misty Dorak Registered Nurse 875 W Moreno Ave, Colorado Springs, CO 80905-1731 2019-01-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710524137 Julie Esther Ayaad Nurse Practitioner 1427 W Rio Grande, Colorado Springs, CO 80905 2019-12-04
1437676970 Cara Boss Physical Therapy Assistant 1855 Presidential Hts, Apt 1023, Colorado Springs, CO 80905 2017-08-25
1720537509 Rhianon Leigh Davis Physical Therapy Assistant 810 Arcturus Drive, Colorado Springs, CO 80905 2016-09-22
1861878639 Melissa Bernstein-linan Counselor 1301 S 8th St Ste 200, Colorado Springs, CO 80905 2015-08-04
1376973669 Kierstie Cameron Counselor 875 W. Moreno Ave, Colorado Springs, CO 80905 2013-11-22
1215294301 Nancy J. Beach Counselor 1355 S 8th St Ste 206, Colorado Springs, CO 80905 2012-04-13
1699096107 Hinds' Feet Adventures Counselor 1301 S. Eighth Street, Suite 115, Colorado Springs, CO 80905 2010-06-18
1396067310 Pinnacle Family Medicine, Pllc Family Medicine 1040 S 8th Street, Suite 102, Colorado Springs, CO 80905 2010-02-17
1710154018 Amy Lee Moore Counselor 875 W. Moreno, Colorado Springs, CO 80905 2008-05-15
1386786598 Pia Hillevi Schalin Family Medicine 402 W Bijou, Emergicare Corporation, Colorado Springs, CO 80905 2007-02-13
Find all providers in zip 80905

Taxonomy Information

Taxonomy Code 2084P0800X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Psychiatry

Taxonomy Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417181751 Kevin N Batterbee D.o. LLC Psychiatry & Neurology 13255 Honey Run Way, Colorado Springs, CO 80921-2087 2009-05-14
1215196696 Deane Shore Berson Psychiatry & Neurology 1424 North Hancock Avenue 3 West, Deane Shore Berson Md, Colorado Springs, CO 80903 2008-06-02
1043477649 Rhonda Nicole Sims Psychiatry & Neurology 6915 Tutt Boulevard, Suite 110b, Colorado Springs, CO 80923-3591 2008-05-21
1699963280 Kurt Peters Psychiatry & Neurology 90 S Cascade Ave Ste 810, Colorado Springs, CO 80903-1675 2007-10-09
1184750408 Thomas P Kittelsen Psychiatry & Neurology 7680 Goddard St Ste 120, Colorado Springs, CO 80920-8233 2007-02-23
1831237098 Ardis Capprice Martin Psychiatry & Neurology 4740 Flintridge Dr, Suite 214, Colorado Springs, CO 80918-4253 2007-02-01
1700938289 Scott Helm Mcclure Psychiatry & Neurology 90 S Cascade Ave, Suite 810, Colorado Springs, CO 80903 2007-01-17
1497805188 David Udell Caster Psychiatry & Neurology 219 E Saint Vrain St, Colorado Springs, CO 80903-1121 2007-01-12
1962566695 Cynthia Pearl Rose Psychiatry & Neurology 90 South Cascade Ave, Colorado Springs, CO 80903-1675 2006-12-20
1144396847 Roger D Pumphrey Psychiatry & Neurology 100 E Saint Vrain St, Ste 200, Colorado Springs, CO 80903-4940 2006-11-27
Find all providers in COLORADO SPRINGS

Competitor

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City COLORADO SPRINGS
Zip Code 80905

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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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