DR. PHYLLIS LOUISE STEWART (NPI# 1720169873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720169873 |
| Entity Type | Individual |
| Full Name | DR. PHYLLIS LOUISE STEWART |
| Credential | PH.D. |
| Practice Address |
12440 Imperial Hwy Suite 116 Norwalk CA 90650-3177 |
| Mailing Address |
5838 Ladera Park Ave Los Angeles CA 90056-1827 |
| Practice Telephone | 6262293587 |
| Mailing Telephone | 3232901177 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY8927 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043595150 | Phyllis Yvette Stewart | Speech-Language Pathologist | 161 Drexel Ave, Westbury, NY 11590-3001 | 2011-10-20 |
| 1295878189 | Phyllis K Stewart | Counselor | 205 Emerson St Apt C, Warrensburg, MO 64093-1484 | 2007-02-14 |
| 1518579390 | Phyllis J Stewart | Counselor | 1 Elizabeth Pl, Dayton, OH 45417-3445 | 2020-08-21 |
| 1033322565 | Phyllis K Stewart | Social Worker | 15300 Ventura Blvd, Suite 408, Sherman Oaks, CA 91403-3103 | 2007-05-08 |
| 1972582666 | Phyllis Stewart | Counselor | 1776 Sw Madison St, Portland, OR 97205-1715 | 2006-01-11 |
| Street Address |
12440 IMPERIAL HWY SUITE 116 |
| City | NORWALK |
| State | CA |
| Zip Code | 90650-3177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639268220 | Victor Guillermo Sanchez | Counselor | 12440 Imperial Hwy, Mental Health Trailer, Norwalk, CA 90650-3177 | 2006-10-12 |
| 1518515485 | Kenechi Omar Okoli | Case Manager/Care Coordinator | 12440 Imperial Hwy, Norwalk, CA 90650-3177 | 2019-09-03 |
| 1831642891 | Timica Collins | Case Manager/Care Coordinator | 12440 Imperial Hwy, Norwalk, CA 90650-3177 | 2016-07-26 |
| 1942650833 | Ezequiel Rendon IIi | Case Manager/Care Coordinator | 12440 Imperial Hwy, Norwalk, CA 90650-3177 | 2016-06-21 |
| 1689024226 | Armine Terteryan | Case Manager/Care Coordinator | 12440 Imperial Hwy, Norwalk, CA 90650-3177 | 2016-06-14 |
| 1861841181 | Randall Cox Jr. | Case Manager/Care Coordinator | 12440 Imperial Hwy, Suite 116, Norwalk, CA 90650-3177 | 2016-06-07 |
| 1609224351 | Jessica Ahn | Case Manager/Care Coordinator | 12440 Imperial Hwy, 116, Norwalk, CA 90650-3177 | 2016-06-02 |
| 1215381389 | Karen Tu | Case Manager/Care Coordinator | 12440 Imperial Hwy, Suite 116, Norwalk, CA 90650-3177 | 2016-04-14 |
| 1609231554 | Lorenza Stewart | Licensed Psychiatric Technician | 12440 Imperial Hwy, Norwalk, CA 90650-3177 | 2015-12-18 |
| 1124499272 | Esperanza Sanchez | Case Manager/Care Coordinator | 12440 Imperial Hwy, Norwalk, CA 90650-3177 | 2015-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420316 | Ricky Chavez | Occupational Therapist | 13603 Halcourt Avenue, Norwalk, CA 90650 | 2020-09-03 |
| 1326671652 | Ryan Ly | Psychologist | 11400 Bloomfield Blvd, Norwalk, CA 90650 | 2020-02-14 |
| 1710416177 | Ricky O Lee | Pharmacist | 11401 S. Bloomfield Ave, Norwalk, CA 90650 | 2017-06-08 |
| 1689108847 | Eliana Segura | Student in an Organized Health Care Education/Training Program | 12440 Firestone Ave Blvd., 3020, Norwalk, CA 90650 | 2017-04-14 |
| 1396282752 | Martin Sanchez Torres | Specialist/Technologist, Other | 14003 Summer Ave, Norwalk, CA 90650 | 2017-01-24 |
| 1952859837 | Fatimah Busran | Social Worker | 11401 South Bloomfield Avde., Norwalk, CA 90650 | 2016-09-20 |
| 1760939383 | Andy Chang | Licensed Psychiatric Technician | 12440 East Imperial Highway, Suite 116, Norwalk, CA 90650 | 2016-09-01 |
| 1548634322 | Leslie Yesenia Lazo | Student in an Organized Health Care Education/Training Program | 12440 E. Firestone Blvd, Norwalk, CA 90650 | 2015-11-17 |
| 1306247994 | Ruth Vergara | Student in an Organized Health Care Education/Training Program | 21520 S. Pioneer Blvd., Suite 110, Hawaiian Gardens, CA 90650 | 2014-09-15 |
| 1265854251 | Sungmin Yee | Acupuncturist | 12706 Bloomfield Ave, Apt. 135, Norwalk, CA 90650 | 2014-01-10 |
| Find all providers in zip 90650 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671652 | Ryan Ly | Psychologist | 11400 Bloomfield Blvd, Norwalk, CA 90650 | 2020-02-14 |
| 1619514619 | Marcella C Avina | Psychologist | 11401 Bloomfield Ave Ofc C&p, Norwalk, CA 90650-2015 | 2019-12-09 |
| 1013460252 | Erin Kleifield | Psychologist | 25 Mark Dr, Norwalk, CT 06851-3133 | 2016-07-23 |
| 1336578087 | Sasha Carr | Psychologist | 114 Perry Ave, Norwalk, CT 06850-1208 | 2013-11-04 |
| 1386944734 | Joel Jonathan Baum | Psychologist | 248 Silvermine Ave, Norwalk, CT 06850-1608 | 2010-11-01 |
| 1114255072 | Masao Tsuru | Psychologist | 12440 E Imperial Hwy., Suite 116, Norwalk, CA 90650 | 2009-12-03 |
| 1124269246 | Maritza Baez | Psychologist | 12643 Rexton St, Norwalk, CA 90650-4459 | 2009-03-19 |
| 1558555862 | Shivani Girish Patel Escamilla | Psychologist | 12440 E. Firestone Blvd., Ste 3010, Norwalk, CA 90650-9331 | 2007-08-29 |
| 1659303675 | Kaneeza Lafir | Psychologist | 12006 Rosecrans Ave, Norwalk, CA 90650-4119 | 2006-07-07 |
| 1073138368 | Kiera Himsl | Psychologist | 11401 Bloomfield Ave, Norwalk, CA 90650-2015 | 2020-06-11 |
| Find all providers in NORWALK | ||||
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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.