MICHAEL PHILLIPS


Address: 83 E Shaw Ave, Suite # 102, Fresno, CA 93710-7620
Phone: 5592260167

MICHAEL PHILLIPS (NPI# 1124251426) 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) 1124251426
Entity Type Individual
Full Name MICHAEL PHILLIPS
Credential L.P.T.
Practice Address 83 E Shaw Ave
Suite # 102
Fresno
CA 93710-7620
Mailing Address 796 Stratford Ct
Lemoore
CA 93245-4391
Practice Telephone 5592260167
Practice Fax Number 5592261559
Mailing Telephone 5598169036
Enumeration Date 2009-09-02
Last Update Date 2010-02-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 167G00000X Licensed Psychiatric Technician 34111 CA Nursing Service Providers

Other Providers MICHAEL PHILLIPS

NPI Name Taxonomy Address Enumeration
1770001380 Michael Alan Phillips I Social Worker 2017 Jefferson Street, Roanoke, VA 24014 2017-09-03
1902299530 Michael Thomas Phillips Pharmacist 2005 Maple Street, Rome, GA 30161 2015-03-06
1013312578 Michael Phillips Jr. Counselor 11 Ward St Ste 200, Somerville, MA 02143-4214 2014-10-27
1790035707 Michael Kenneth Phillips Military Health Care Provider 623 Pusan Dr, Oceanside, CA 92058-8149 2012-09-17
1992099600 Michael Zachary Phillips Emergency Medicine 175 Cheney Ave, Harpers Ferry, WV 25425-6343 2011-05-31
1689970535 Michael G. Phillips Military Health Care Provider 2621 Las Brisas St, Corpus Christi, TX 78414-5014 2011-02-09
1750437265 Michael Phillips Counselor 506 Ne Thompson St, Portland, OR 97212-3843 2007-01-26
1730234709 Michael Phillips Specialist 9253 Hermosa Ave, Ste C, Rancho Cucamonga, CA 91730-5854 2007-01-23
1699845974 Michael Stuart Phillips Internal Medicine 545 1st Ave, Nyu Medical Center, Greenberg Hall, Room Sc-132, New York, NY 10016-6401 2006-11-08
1225124837 Michael Phillips Chiropractor 34734 Vine St, Willowick, OH 44095-5120 2006-10-04

Office Location

Street Address 83 E SHAW AVE
SUITE # 102
City FRESNO
State CA
Zip Code 93710-7620

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629138680 Dolores Maria Davis Counselor 83 E Shaw Ave, 102, Fresno, CA 93710-7620 2006-12-11
1629509492 Dana Oleksa Counselor 83 E Shaw Ave, Suite 202, Fresno, CA 93710-7620 2017-03-23
1730555301 Kelsey Brooke Taylor Counselor 83 E Shaw Ave, #102, Fresno, CA 93710-7620 2015-08-18
1659760247 Mai See Vang Counselor 83 E Shaw Ave, Suite 102, Fresno, CA 93710-7620 2015-01-20
1245658400 Peggy Sung Case Manager/Care Coordinator 83 E Shaw Ave, Suite 102, Fresno, CA 93710-7620 2014-04-03
1710264684 Nikeya Nicole Hall Licensed Vocational Nurse 83 E Shaw Ave, 102, Fresno, CA 93710-7620 2011-11-07
1619266368 Lisa Leann Batchelder Counselor 83 E Shaw Ave, 102, Fresno, CA 93710-7620 2011-04-04
1003131046 Tiffany I Meyers Counselor 83 E Shaw Ave, Suite #102, Fresno, CA 93710-7620 2010-04-01
1659609790 Marleny Perez Case Manager/Care Coordinator 83 E Shaw Ave, Suite 102, Fresno, CA 93710-7620 2009-12-01
1407182876 Grace Diane Perez Case Manager/Care Coordinator 83 E Shaw Ave, Suite #102, Fresno, CA 93710-7620 2009-10-20
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184240384 Patsy Joan Perry Counselor Quality Family Services - Sample House, 643 E. Sample Avenue, Fresno, CA 93710 2020-06-23
1831739853 Blanca Stephanie Millan Counselor 1300 E Shaw Ave Suite 172, Fresno, CA 93710 2020-01-07
1679115737 Abel Luis Flores Physical Therapy Assistant 5556 N Fresno St, 5555 N Fresno St, Fresno, CA 93710 2019-10-10
1316408933 Simranjit Kaur Mann Behavioral Analyst 5180 North Primitivo Way Appt #363, Fresno, CA 93710 2019-03-27
1093274169 Aleajndra Bedolla Alcantar Behavior Technician 1320 East Shaw Ave, #110, Fresno, CA 93710 2019-03-18
1790244960 Alondra Martinez Behavior Technician 1320 East Shaw Ave #110, Fresno, CA 93710 2019-03-18
1235698622 Irma Joselyn Castro Behavior Technician 1320 East Shaw Ave # 110, Fresno, CA 93710 2019-03-15
1619433711 Beacon Dental Group Dentist 6099 N. First Ste Ste 102, Fresno, CA 93710 2019-02-13
1265909394 Pathana Phonesy Behavior Technician 5363 N. Fresno St., Suite 105, Fresno, CA 93710 2018-10-26
1376030080 Jane F Kardashian Md Inc Non-Pharmacy Dispensing Site 6769 N Fresno, Fresno, CA 93710 2018-04-18
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Taxonomy Information

Taxonomy Code 167G00000X
Grouping Nursing Service Providers
Classification Licensed Psychiatric Technician

Taxonomy Definition

An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619370004 Phyllis Rodriguez Licensed Psychiatric Technician 496 S Barton Ave, Fresno, CA 93702-2985 2014-09-30
1649570458 Kimberly Hudspeth Licensed Psychiatric Technician 1148 W Gettysburg Ave, Fresno, CA 93705-0933 2010-10-26
1871748657 Steven Ralph Colwell Licensed Psychiatric Technician 637 W Hammond Ave, Fresno, CA 93728-2200 2008-11-20
1356404602 Joseph Exnicious Jules Licensed Psychiatric Technician 1312 E Garland Ave, Fresno, CA 93704-4938 2006-12-18
1871100248 Tanveer Hans Licensed Psychiatric Technician 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 2020-09-29
1366069577 Ulysses Ruvalcaba Licensed Psychiatric Technician 4411 E Kings Canyon Rd, Fresno, CA 93702-3604 2020-07-03
1750908141 Brooke Annette Denham Licensed Psychiatric Technician 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 2020-07-01
1376178509 Michelle Mendez Licensed Psychiatric Technician 1235 E St, Fresno, CA 93706-2024 2020-03-09
1801426630 Shaylee Maxfield Licensed Psychiatric Technician 4411 E Kings Canyon Rd # 319, Fresno, CA 93702-3604 2020-01-21
1740828094 Eric Okafor Licensed Psychiatric Technician 496 S Barton Ave, Fresno, CA 93702-2985 2019-12-18
Find all providers in FRESNO

Competitor

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City FRESNO
Zip Code 93710

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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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