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).
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 |
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
3322 Dent Pl Nw, Washington, DC 200072712 | 2023378051 | 2023384436 |
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 |
Street Address |
875 W MORENO AVE |
City | COLORADO SPRINGS |
State | CO |
Zip Code | 80905-1731 |
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 |
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 Code | 2084P0800X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Psychiatry |
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] |
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 |
City | COLORADO SPRINGS |
Zip Code | 80905 |
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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.