DR. KELLY PHILLIPS (NPI# 1518595859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518595859 |
| Entity Type | Individual |
| Full Name | DR. KELLY PHILLIPS |
| Credential | PHD |
| Practice Address |
5800 Hannum Ave Ste 105 Culver City CA 90230-6553 |
| Practice Telephone | 3104109504 |
| Practice Fax Number | 3104109507 |
| Mailing Telephone | 3104109504 |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | PSB94023963 | CA | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305678 | Kelly Phillips | Occupational Therapist | 6447 Springfield Blvd, Oakland Gardens, NY 11364-2337 | 2020-08-05 |
| 1700403524 | Kelly Phillips | Specialist | 4650 Fruitvale Rd, Newcastle, CA 95658-9240 | 2020-06-27 |
| 1104118355 | Kelly M Phillips | Veterinarian | 1808 S Randall Rd, Algonquin, IL 60102-5925 | 2011-05-06 |
| 1083857064 | Kelly Phillips | Registered Nurse | 10 Upland Rd, Belmont, MA 02478-2302 | 2009-04-07 |
| 1467662106 | Kelly G Phillips | Marriage & Family Therapist | 1035a Director Ct, Greenville, NC 27858-5996 | 2007-05-23 |
| 1073593349 | Kelly Phillips | Family Medicine | 821 N. Coleman St., 100, Prosper, TX 75078 | 2006-01-20 |
| 1871192906 | Kelly Phillips | Social Worker | 203 East St, Easthampton, MA 01027-1234 | 2020-10-20 |
| 1407453178 | Kelly R. Phillips | Social Worker | 3801 Blue Pkwy, Kansas City, MO 64130-2807 | 2020-10-06 |
| 1619536513 | Kelly M Phillips | Speech-Language Pathologist | 889 N Aurora Rd, Aurora, OH 44202-9537 | 2019-06-13 |
| 1922586999 | Kelly Marie Phillips | Counselor | 7601 S Redwood Rd Bldg E, West Jordan, UT 84084-4007 | 2018-08-01 |
| Street Address |
5800 HANNUM AVE STE 105 |
| City | CULVER CITY |
| State | CA |
| Zip Code | 90230-6553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154646271 | Walter Brown, Ph.d., A Psychological Corporation | Psychologist | 5800 Hannum Ave Ste 105, Culver City, CA 90230-6553 | 2010-03-31 |
| 1093285280 | James Andrew Roberts | Social Worker | 5800 Hannum Ave Ste 105, Culver City, CA 90230-6553 | 2018-11-29 |
| 1285091124 | Ross Flowers | Psychologist | 5800 Hannum Ave Ste 105, Culver City, CA 90230 | 2016-01-22 |
| 1972992378 | Jaunty Navi | Marriage & Family Therapist | 5800 Hannum Ave Ste 105, Culver City, CA 90230-6553 | 2015-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558822064 | Smilemax Dental Center | Dentist | 10814 Jefferson Blvd. #g, Culver City, CA 90230 | 2019-03-27 |
| 1023532595 | Mary Alice Haye | Marriage & Family Therapist | 550 S. Vermont Ave., 7th Floor, 700, Los Angeles, CA 90230 | 2017-07-27 |
| 1902342074 | Dorene Lehavi | Social Worker | 5106 S Slauson Ave, Suite 192, Los Angeles, CA 90230 | 2017-01-13 |
| 1548634553 | Kimberly Henck | Speech-Language Pathologist | 607 Bristol Pkwy, Ste 105, Culver City, CA 90230 | 2015-11-15 |
| 1346628898 | Stephan Sepernia | Marriage & Family Therapist | 5601 W. Slavson Ave. #192, Culver City, CA 90230 | 2015-05-15 |
| 1558749291 | Sean Steven Mcknee | Chiropractor | 5839 Green Valley Cir Ste 102, Culver City, CA 90230 | 2015-05-14 |
| 1821484841 | Jasmine Lee | Family Medicine | 6000 Sepulveda Blvd Ste E10, Culver City, CA 90230 | 2015-04-07 |
| 1043609191 | Carrie Mays | Counselor | 4760 Sepulvda Blvd., Culver City, CA 90230 | 2015-01-13 |
| 1457759375 | Monquenta Felicia Young | Case Manager/Care Coordinator | 666 Green Valley Circle, Culver City, CA 90230 | 2014-12-09 |
| 1972902724 | Shana Chan Pope | Marriage & Family Therapist | 11949 Jefferson Blvd #106, Culver City, CA 90230 | 2014-08-18 |
| Find all providers in zip 90230 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811552607 | Hana Yi | Student in an Organized Health Care Education/Training Program | 11124 Mcdonald St, Culver City, CA 90230-5368 | 2019-05-07 |
| 1639695109 | Ashlyn Herrian | Student in an Organized Health Care Education/Training Program | 9808 Venice Blvd., Ste. 505, Culver City, CA 90232 | 2017-08-16 |
| 1124554639 | Thomas Pham | Student in an Organized Health Care Education/Training Program | 4316 Motor Ave, Culver City, CA 90232-3449 | 2017-05-03 |
| 1184973703 | Mary Ann Mayer | Student in an Organized Health Care Education/Training Program | 6231 Green Valley Cir, Culver City, CA 90230-7056 | 2012-08-29 |
| 1629201199 | Somai Brown | Student in an Organized Health Care Education/Training Program | 3530 Helms Ave, Culver City, CA 90232-2415 | 2009-08-31 |
| 1588262844 | Miriam Paula Rubenson | Student in an Organized Health Care Education/Training Program | 4760 Sepulveda Blvd, Culver City, CA 90230-4820 | 2020-10-09 |
| 1619584554 | Mayra Alexandria Garcia | Student in an Organized Health Care Education/Training Program | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2020-09-24 |
| 1871109090 | Cindy Hernandez | Student in an Organized Health Care Education/Training Program | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2020-09-22 |
| 1679188601 | Jacqueline Brianne Saldana | Student in an Organized Health Care Education/Training Program | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2020-09-15 |
| 1588279517 | Michael Charles Scarlata | Student in an Organized Health Care Education/Training Program | 9808 Venice Blvd Ste 700, Culver City, CA 90232-6824 | 2020-09-15 |
| Find all providers in CULVER CITY | ||||
| City | CULVER CITY |
| Zip Code | 90230 |
Please comment or provide details below to improve the information on DR. KELLY 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.