PHILLIP MENDOZA JR (NPI# 1376143180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376143180 |
| Entity Type | Individual |
| Full Name | PHILLIP MENDOZA JR |
| Practice Address |
195 Edward Ave Akron OH 44310-1957 |
| Practice Telephone | 3304759599 |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 106646621899 | 05 |
| Street Address |
195 EDWARD AVE |
| City | AKRON |
| State | OH |
| Zip Code | 44310-1957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518584085 | Michelle Lynn Lanning | Peer Specialist | 213 E. Glenwood Ave., Akron, OH 44310 | 2020-07-01 |
| 1376172759 | Blake Schach | Student in an Organized Health Care Education/Training Program | Orthopedic Clinic 444 N. Main St., 3rd Floor, Akron, OH 44310 | 2020-04-07 |
| 1528558137 | Nortisha Meco Brown-nelson | Social Worker | 1187 Linden Ave, Akron, OH 44310 | 2018-05-18 |
| 1114429123 | Sharon Denise Shell | Home Health Aide | 1307 Brownstone Ave, Akron, OH 44310 | 2018-03-06 |
| 1467961631 | A Door of Hope Center | Early Intervention Provider Agency | 311 Montrose Ave., Akron, OH 44310 | 2017-09-20 |
| 1750809570 | Laura Stover | Counselor | 445 N Main Street, Akron, OH 44310 | 2017-08-31 |
| 1083131817 | Heather Lynne Barger | Counselor | 15 Frederick Avenue, Akron, OH 44310 | 2017-08-23 |
| 1659898377 | Heidi Irene Sirotzki | Peer Specialist | 215 E. Glenwood Ave., Akron, OH 44310 | 2017-08-23 |
| 1013432939 | Veniece Harris | Licensed Practical Nurse | 1469 Alphada Ave, Apt D5, Akron, OH 44310 | 2017-08-11 |
| 1417493289 | Marcella Brooks | Counselor | 445 North Main Street, Akron, OH 44310 | 2017-01-17 |
| Find all providers in zip 44310 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760045132 | Mended Heart LLC | Counselor | 853 E Archwood Ave, Akron, OH 44306-2325 | 2019-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121214 | Andrew Clark Oswalt | Counselor | 45 Oakland Park Ave, Columbus, OH 43214-4119 | 2020-10-12 |
| 1477167674 | Jessica A Buttari | Counselor | 9980 Knollwood Ridge Dr, Mentor, OH 44060-6517 | 2020-09-04 |
| 1376151324 | Lurenna Obey | Counselor | 3499 Hiawatha St, Columbus, OH 43224-3349 | 2020-07-15 |
| 1285260729 | Beverly Crump | Counselor | 4889 Sinclair Rd Ste 215, Columbus, OH 43229-5434 | 2020-03-17 |
| 1225685506 | David Adams | Counselor | 3704 Walton Ave, Cleveland, OH 44113-4917 | 2019-08-21 |
| 1174081095 | John Benjamin David Tatum | Counselor | 99 Dawson Avenue, Back Door @ Top of W/c Ramp, Mansfield, OH 44906-3201 | 2019-03-10 |
| 1295225894 | Rhonda Beal | Counselor | 840 Suire Ave, Cincinnati, OH 45205-1639 | 2018-05-18 |
| 1972017697 | Melvin Dennis Trent Sr. | Counselor | 2007 S Schenley Ave, Youngstown, OH 44511-1262 | 2017-11-17 |
| 1083126593 | Dean Christopher Kavouras | Counselor | 5948 W 24th St, Cleveland, OH 44134-3003 | 2017-10-25 |
| 1033657226 | Thomas Kamau | Counselor | 3330 E Livingston Ave, Columbus, OH 43227-1946 | 2017-02-07 |
| 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.