BRIAN PHILLIPS (NPI# 1477955508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477955508 |
Entity Type | Individual |
Full Name | BRIAN PHILLIPS |
Credential | PMHNP |
Practice Address |
14567 Kellogg School Rd Hickory Corners MI 49060-9701 |
Mailing Address |
117 Sweetheart Ln Battle Creek MI 49017-9228 |
Practice Telephone | 7344741113 |
Mailing Telephone | 7344741113 |
Enumeration Date | 2014-09-19 |
Last Update Date | 2014-10-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 4704288196 | MI | Nursing Service Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
4704288196 | MI | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932105152 | Brian Jay Phillips | Nurse Practitioner | 2131 Clarksville St, Paris, TX 75460-6245 | 2005-06-22 |
1144729948 | Brian Phillips | Pharmacist | 825 Main St, Zanesville, OH 43701-3733 | 2018-02-07 |
1851819288 | Brian Phillips | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-09-06 |
1851813729 | Brian Phillips | Rehabilitation Counselor | 202 N 8th St, El Centro, CA 92243-2302 | 2017-07-12 |
1619418837 | Brian Walter Phillips | Hospitalist | 7450 Hospital Dr Ste 290, Dublin, OH 43016-9641 | 2017-03-20 |
1568723047 | Brian B Phillips | Pharmacist | 4037 Durham Chapel Hill Blvd, T-1872, Durham, NC 27707-2516 | 2012-05-31 |
1336430628 | Brian Christopher Phillips | Emergency Medicine | 78 Medical Center Dr, Fishersville, VA 22939-2332 | 2011-04-21 |
1639477128 | Brian Phillips | Counselor | 1756 S Lewis Rd, Camarillo, CA 93012-8520 | 2011-03-07 |
1639338163 | Brian S Phillips | Physical Therapist | 1515 Park Ave, Columbus, WI 53925-1618 | 2008-06-09 |
1083831374 | Brian Phillips | Internal Medicine | 777 North St, Pittsfield, MA 01201-4147 | 2007-04-19 |
Street Address |
14567 KELLOGG SCHOOL RD |
City | HICKORY CORNERS |
State | MI |
Zip Code | 49060-9701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578870820 | Roger Carl Boyd | Psychologist | 2608 Snyder Dr., Hickory Corners, MI 49060 | 2010-09-08 |
1972710267 | Dan K. Remley | Dentist | 10953 N. 42nd St., Hickory Corners, MI 49060 | 2007-05-17 |
1497973861 | Stephen G Maybee | Psychologist | 2608 Snyder Dr, Hickory Corners, MI 49060 | 2007-04-23 |
1881810059 | Alongside, Inc | Voluntary or Charitable | 2608 Snyder Dr, Hickory Corners, MI 49060-9310 | 2007-04-17 |
1225254493 | Jeanne L Jensma | Psychologist | 2608 Snyder Dr, Hickory Corners, MI 49060-9310 | 2007-04-17 |
1912529884 | Hannah Kristyne Avery | Music Therapist | 1648 Midland Dr, Hickory Corners, MI 49060-9342 | 2020-05-13 |
1548239767 | Laura S Mullins | Nurse Practitioner | 9072 N 42nd St, Hickory Corners, MI 49060-9542 | 2006-03-17 |
1376094102 | Julianne Downes | Dietitian, Registered | 14278 Parker Rd, Hickory Corners, MI 49060-9711 | 2016-10-17 |
1871958553 | Kara Wyman | Rehabilitation Practitioner | 15420 S M 43 Hwy, Hickory Corners, MI 49060-9724 | 2015-12-22 |
1962938365 | Marci Melnick-butler | Nurse Practitioner | 15585 Kellogg School Rd, Hickory Corners, MI 49060-9733 | 2017-05-04 |
Find all providers in zip 49060 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720692494 | Memphis Chardell Sandoval | Nurse Practitioner | 131 S. Seaway Dr., Muskegon, MI 49441 | 2020-09-01 |
1588282784 | Mary Tackbary | Nurse Practitioner | 3932 W Briar Hill Dr, Maple City, MI 49664-9521 | 2020-07-14 |
1962032227 | Westlake Consultation Center | Nurse Practitioner | 4870 W Clark Rd Ste 100, Ypsilanti, MI 48197-1104 | 2020-01-24 |
1689211823 | Wanda Edwards | Nurse Practitioner | 29000 Inkster Rd Ste 115, Southfield, MI 48034-1097 | 2019-12-06 |
1508416355 | Stephanie Lauren Marl | Nurse Practitioner | 29800 Adams Dr, Gibraltar, MI 48173 | 2019-09-13 |
1457905614 | Natalie Poole | Nurse Practitioner | 23077 Greenfield Rd Ste 260, Southfield, MI 48075-3745 | 2019-07-26 |
1629535117 | Valerie Baunoch | Nurse Practitioner | 2057 E West Maple Rd, Commerce Twp, MI 48390 | 2019-02-21 |
1790293488 | Infinity Hope Center LLC | Nurse Practitioner | 260 Vinewood St Ste 100a8919, Detroit, MI 48216-1667 | 2018-01-16 |
1033659644 | Anne Zamler | Nurse Practitioner | 14230 W Mcnichols Rd, Detroit, MI 48235-3912 | 2017-03-01 |
1396289120 | Next Level Up Health & Wellness Inc. | Nurse Practitioner | 28423 Parkwood St, Inkster, MI 48141-1669 | 2016-12-13 |
Find all providers with the same taxonomy |
City | HICKORY CORNERS |
Zip Code | 49060 |
Please comment or provide details below to improve the information on BRIAN 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.