CHRISTINE HAZARD PHILLIPS (NPI# 1316425416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316425416 |
| Entity Type | Individual |
| Full Name | CHRISTINE HAZARD PHILLIPS |
| Practice Address |
6020 Constitution Ave Ne Ste 4 Albuquerque NM 87110-5931 |
| Mailing Address |
Po Box 3338 Albuquerque NM 87190-3338 |
| Practice Telephone | 5052555099 |
| Practice Fax Number | 5052554206 |
| Mailing Telephone | 5052555099 |
| Mailing Fax Number | 5052555099 |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2018-07-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
1360 | NM | Behavioral Health & Social Service Providers |
| Street Address |
6020 CONSTITUTION AVE NE STE 4 |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-5931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164949780 | Christine S. Park | Psychologist | 6020 Constitution Ave Ne Ste 4, Albuquerque, NM 87110-5931 | 2017-08-24 |
| 1043845977 | Maureen Elizabeth Brooks | Speech-Language Pathologist | 6020 Constitution Ave Ne Ste 4, Albuquerque, NM 87110-5931 | 2020-03-11 |
| 1578027223 | Margaret Radigan | Speech-Language Pathologist | 6020 Constitution Ave Ne Ste 4, Albuquerque, NM 87110-5931 | 2019-01-28 |
| 1891278941 | Donald Blackburn | Physical Therapist | 6020 Constitution Ave Ne Ste 4, Albuquerque, NM 87110-5931 | 2018-09-13 |
| 1184103475 | John Garrahan Daly | Physical Therapist | 6020 Constitution Ave Ne Ste 4, Albuquerque, NM 87110-5931 | 2018-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164949780 | Christine S. Park | Psychologist | 6020 Constitution Ave Ne Ste 4, Albuquerque, NM 87110-5931 | 2017-08-24 |
| 1023441300 | Suzette L Sandoval | Psychologist | 5323 Menaul St Ne, Albuquerque, NM 87176 | 2013-08-09 |
| 1710254719 | Ann Branscum | Psychologist | Unm Health Sciences Center, Psychiatry/behavioral Sci., Msc009-5030, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2011-11-19 |
| 1053507608 | Bonnie Stetson | Psychologist | 9434 Rio Grande Blvd Nw, Albuquerque, NM 87114-1813 | 2007-09-18 |
| 1235335225 | William James Huddleston | Psychologist | 5321-a Menaul, Ne, Albuquerque, NM 87110 | 2007-06-26 |
| 1619411311 | Emily Mathis | Psychologist | 6020 Constitution Ave Ne, Suite 4, Albuquerque, NM 87110-5900 | 2016-12-14 |
| 1760932479 | Christina Horvath | Psychologist | 6020 Constitution Ave Ne, Albuquerque, NM 87110-5900 | 2016-10-05 |
| 1588065577 | Laura De Azevedo | Psychologist | 6020 Constitution Ave Ne, Suite 4, Albuquerque, NM 87110-5900 | 2014-09-09 |
| 1942559927 | Michael W. Baxter | Psychologist | 5200 Copper Ave Ne, Albuquerque, NM 87108-1473 | 2012-09-05 |
| 1417262668 | Tiffany Richie | Psychologist | 5200 Copper Ave Ne, Albuquerque, NM 87108-1473 | 2010-08-12 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
Please comment or provide details below to improve the information on CHRISTINE HAZARD PHILLIPS.
| 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.