DR. BRANDON PHILLIPS (NPI# 1629387279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629387279 |
| Entity Type | Individual |
| Full Name | DR. BRANDON PHILLIPS |
| Credential | PSY.D. |
| Practice Address |
90 Whitewood Rd Ste 4 Charlottesville VA 22901-1668 |
| Practice Telephone | 4343272875 |
| Mailing Telephone | 4343272875 |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2019-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 0810004103 | VA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1629 Inglewood Dr, Charlottesville, VA 229012650 | 4343272875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356754956 | Brandon Phillips | Radiology | 619 19th St S Dept Of, Birmingham, AL 35233-1900 | 2014-06-11 |
| 1790913101 | Brandon Michael Phillips | Speech-Language Pathologist | 3711 N Roan St, Apt B14, Johnson City, TN 37601-1258 | 2009-06-24 |
| 1790386142 | Brandon Phillips | Counselor | 2428 W Reynolds Ave, Centalia, WA 98531-4554 | 2020-11-03 |
| 1295341840 | Brandon Phillips | Physical Therapist | 1640 Springdale Dr Unit 10, Camden, SC 29020-5002 | 2020-09-18 |
| 1386131571 | Brandon Phillips | Behavior Technician | 4008 N Rosewood Ave, Muncie, IN 47304-1775 | 2018-04-13 |
| 1619473923 | Brandon Phillips | Pharmacist | 2421 Powell Ave, Nashville, TN 37204-4653 | 2018-04-04 |
| 1093238404 | Brandon Phillips | Case Manager/Care Coordinator | 3921 Independence Dr Ste 104, Alexandria, LA 71303 | 2017-07-18 |
| 1679973382 | Brandon Phillips | Nurse Practitioner | 501 S Union Ave, Havre De Grace, MD 21078-3409 | 2014-08-29 |
| 1508295072 | Brandon Phillips | Pharmacist | 601 Spartanburg Hwy, Hendersonville, NC 28792-5762 | 2013-11-05 |
| 1467715581 | Brandon Lee Phillips | Dentist | 1150 Health Sciences Center, Robert C. Byrd Health Sciences Center, Morgantown, WV 26506-9100 | 2012-06-22 |
| Street Address |
90 WHITEWOOD RD STE 4 |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22901-1668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641501 | John Mccord | Speech-Language Pathologist | English Meadows, 1220 Crozet Ave, Crozet, VA 22901 | 2020-05-20 |
| 1922566017 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 27 Discovery Dr, Bluffton, SC 22901 | 2019-03-07 |
| 1477011872 | Courtney Dyan Bonilla | Counselor | 633 Berkmar Circle, Charlottesville, VA 22901 | 2019-03-05 |
| 1558855346 | Dana Scott | Counselor | 696 Berkmar Cir Ste 3b, Charlottesville, VA 22901 | 2018-06-15 |
| 1043725336 | M Clinic, LLC | Internal Medicine | 406 Albemarle Square, Charlottesville, VA 22901 | 2017-12-08 |
| 1033620380 | Cheryl K Cottrell | Counselor | 875 East Rio Court, Charlottesville, VA 22901 | 2017-10-13 |
| 1114389640 | Heather Lorin Broach | Physical Therapist | 2331 Seminole Ln Ste 103, Charlottesville, VA 22901 | 2016-03-23 |
| 1649669904 | Costco Wholesale Corporation | Pharmacy | 3171 District Ave, Charlottesville, VA 22901 | 2015-01-09 |
| 1083988778 | Melissa Stanley | Nurse Practitioner | 1356 River Rd, Charlottesville, VA 22901 | 2012-02-28 |
| 1982977633 | Jea Catherine Brickwedde | Specialist | 716 Rio Rd W, Fa, Charlottesville, VA 22901 | 2012-02-10 |
| Find all providers in zip 22901 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305464 | Jacqueline Diana Alexander | Psychologist | 225 Reserve Blvd Apt 303, Charlottesville, VA 22901-1665 | 2020-04-22 |
| 1073145850 | Patricia Martin Professional Corporation | Psychologist | 800 E High St, Charlottesville, VA 22902-5126 | 2020-02-10 |
| 1821345364 | Anne-lise Smith | Psychologist | 302 Park St, Charlottesville, VA 22902-5113 | 2012-08-14 |
| 1992004188 | Gary Pelton | Psychologist | 2000 Michie Dr, Charlottesville, VA 22901-2821 | 2011-03-28 |
| 1659438398 | Associates Clinicians of Virginia Inc. | Psychologist | 918 91/2 Street, Charlottesville, VA 22902 | 2007-01-02 |
| 1972673036 | Bonny Gale Bronson | Psychologist | 920 9 1 2 St Ne, Charlottesville, VA 22902-5311 | 2006-11-08 |
| 1144312273 | Hope Beth Bagley | Psychologist | 922 91/2 St Ne, Charlottesville, VA 22902 | 2006-09-28 |
| 1447353073 | Janet Clare Venus | Psychologist | 690 Berkmar Circle, Charlottesville, VA 22901 | 2006-09-07 |
| 1417563180 | Caitlin E Anderson | Psychologist | 1204 W Main St, Charlottesville, VA 22903-2824 | 2020-09-18 |
| 1891258398 | Joseph S Tan | Psychologist | 1221 Lee Street, Charlottesville, VA 22908-0816 | 2019-04-11 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22901 |
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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.