MR. JUSTIN PAUL PHILLIPS (NPI# 1598092462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598092462 |
| Entity Type | Individual |
| Full Name | MR. JUSTIN PAUL PHILLIPS |
| Practice Address |
1835 Allston Way Berkeley CA 94703-1764 |
| Mailing Address |
30086 Mission Blvd Hayward CA 94544-7233 |
| Practice Telephone | 5106669552 |
| Mailing Telephone | 9259895775 |
| Mailing Fax Number | 5106759468 |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2019-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 106H00000X | Marriage & Family Therapist | 114115 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 390 40th Street, Oakland, CA 94609 | 5103186137 | 5106759468 |
| 30086 Mission Blvd, Hayward, CA 945447233 | 9259895775 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891326559 | Justin Jerome Phillips | Community/Behavioral Health | 4021 Laclede Ave # 23211, Saint Louis, MO 63108-3271 | 2020-01-31 |
| 1033630579 | Justin David Phillips | Counselor | 3396 Mount Olive Rd, Mount Olive, AL 35117-3710 | 2017-07-06 |
| 1902056682 | Justin Wayne Phillips | Counselor | 4015 Allison Ln Apt 207, Springdale, AR 72762-0659 | 2008-09-30 |
| 1184812091 | Justin D. Phillips | Dentist | 2655 Cleveland Ave Ste B, Santa Rosa, CA 95403-2779 | 2007-10-05 |
| 1295821874 | Justin Ray Phillips | Chiropractor | 602 N. Broadway, Teucumseh, OK 74873 | 2006-10-04 |
| 1194120170 | Justin Phillips | Physical Therapy Assistant | 211 Ana Dr, Florence, AL 35630-1768 | 2014-11-03 |
| 1619258183 | Justin Phillips | Chiropractor | 7000 Lee Hwy, Suite 600, Chattanooga, TN 37421-1799 | 2011-08-29 |
| 1811287477 | Justin R. Phillips | Pharmacy Technician | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2011-04-15 |
| 1205150083 | Justin T. Phillips | Psychiatry & Neurology | 4950 Norton Healthcare Blvd, Suite 305, Louisville, KY 40241-2845 | 2010-03-23 |
| 1184853350 | Justin Phillips | Acupuncturist | 911 W 38th St, 200t, Austin, TX 78705-1188 | 2009-07-09 |
| Street Address |
1835 ALLSTON WAY |
| City | BERKELEY |
| State | CA |
| Zip Code | 94703-1764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890571 | Jose Rolando Ayala | Counselor | 1835 Allston Way, Berkeley, CA 94703-1764 | 2020-10-30 |
| 1265030621 | Matthew Thomas Brady | Counselor | 1835 Allston Way, Berkeley, CA 94703-1764 | 2020-10-16 |
| 1306451364 | Keith Tribble | Counselor | 1835 Allston Way, Berkeley, CA 94703-1764 | 2020-09-15 |
| 1235757782 | Tith Ton | Counselor | 1835 Allston Way, Berkeley, CA 94703-1764 | 2020-07-10 |
| 1447870019 | Samuel Arola Strange | Counselor | 1835 Allston Way, Berkeley, CA 94703-1764 | 2020-04-23 |
| 1457911968 | Yvonne Annette Tate | Counselor | 1835 Allston Way, Berkeley, CA 94703-1764 | 2019-06-17 |
| 1316506991 | Michelle Joe | Counselor | 1835 Allston Way, Berkeley, CA 94703-1764 | 2019-06-07 |
| 1396209292 | Teena R Wright | Counselor | 1835 Allston Way, Berkeley, CA 94703-1764 | 2019-01-24 |
| 1487125142 | Amin Miraftab | Counselor | 1835 Allston Way, Berkeley, CA 94703-1764 | 2018-12-06 |
| 1821566704 | Jennifer Nicole Caldwell | Marriage & Family Therapist | 1835 Allston Way, Berkeley, CA 94703-1764 | 2018-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811553621 | Brittney Jerrilena Monique Garrett | Behavioral Analyst | 1901 Stuart St, Berkeley, CA 94703 | 2019-05-16 |
| 1740762178 | Maryam Jabbari Amiri | Student in an Organized Health Care Education/Training Program | 3075 Adeline Street, Suite 120, Berkeley, CA 94703 | 2018-09-01 |
| 1619427549 | Sigal Gafni | Occupational Therapist | 1622 Parker St. Apt. 1, Berkeley, CA 94703 | 2016-10-04 |
| 1750741138 | Ane Becker | Community Health Worker | 2026 Woolsey St, Berkeley, CA 94703 | 2016-02-29 |
| 1245697135 | Sara Dinome Teel Vargas | Chiropractor | 3286 Adeline St., Suite 9, Berkeley, CA 94703 | 2016-01-22 |
| 1083081608 | Olivia Debree | Nurse Practitioner | 3075 Adeline Street, Suite 280, Lifelong Medical Care, Ashby Health Center, Berkeley, CA 94703 | 2015-08-31 |
| 1962885988 | Caro Grosvenor | Marriage & Family Therapist | 1511 Ada Street, Berkeley, CA 94703 | 2015-07-08 |
| 1619378452 | Myles Malone | Counselor | 2413 Jefferson Ave., Berkeley, CA 94703 | 2014-09-11 |
| 1013340223 | Denise Daniel | Acupuncturist | 6222 La Salle Ave Suite B, Oakland, CA 94703 | 2013-08-12 |
| 1104126200 | Iramis Kouromenos | Dental Hygienist | 1721 University Ave Apt#209, Berkeley, CA 94703 | 2010-10-25 |
| Find all providers in zip 94703 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407456320 | Debby Liang | Marriage & Family Therapist | 2140 Shattuck Ave Ste 804, Berkeley, CA 94704-1229 | 2020-10-29 |
| 1770100513 | Ferris Wahl | Marriage & Family Therapist | 1211 Ward St, Berkeley, CA 94702-2235 | 2020-06-27 |
| 1356962310 | Donald Ira Bender | Marriage & Family Therapist | 1164 Euclid Ave, Berkeley, CA 94708-1603 | 2020-04-30 |
| 1780213504 | Ryan Maria Peter Buchholz | Marriage & Family Therapist | 1611 San Pablo Ave, Berkeley, CA 94702-1375 | 2020-04-03 |
| 1396373544 | Daria Elizabeth Wrubel | Marriage & Family Therapist | 2576 Shattuck Ave Ste 2, Berkeley, CA 94704-2724 | 2020-03-31 |
| 1134755457 | Elizabeth Anike Dejong | Marriage & Family Therapist | 2880 Sacramento St Ste A, Berkeley, CA 94702-2533 | 2020-03-18 |
| 1447882956 | Diane Lomas Wyatt | Marriage & Family Therapist | 2340 Ward St. Ste 104, Berkeley, CA 94705 | 2020-02-12 |
| 1063982874 | Juliane C M Brown | Marriage & Family Therapist | 921 The Alameda Ste 227, Berkeley, CA 94707-2311 | 2018-12-05 |
| 1063919355 | Anna Nicole Lewis | Marriage & Family Therapist | 3120 Telegraph Ave Ste 7d, Berkeley, CA 94705-1965 | 2018-04-12 |
| 1497257349 | Devon D'avanzo | Marriage & Family Therapist | 1810 Hopkins St, Berkeley, CA 94707-2717 | 2018-03-07 |
| Find all providers in BERKELEY | ||||
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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.