DR. JACQUELINE PHILLIPS (NPI# 1770670689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770670689 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE PHILLIPS |
| Other Name | DR. JACQUELINE PHILLIPS-SABOL |
| Credential | PHD |
| Practice Address |
6410 Fannin St Ste 1014 Attn: Director of Neuropsychology Houston TX 77030-5301 |
| Mailing Address |
120 E 2nd St Fl 3 Erie PA 16507-1578 |
| Practice Telephone | 7134860503 |
| Mailing Telephone | 7135003500 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2016-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PS017778 | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 2030728-01 | 05 | |
| IL | DMERC | 0533210001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609269158 | Jacqueline Eileen Phillips | Nurse Practitioner | 1624 Library Ln Ste C, Minden, NV 89423-4476 | 2015-03-09 |
| 1396144598 | Jacqueline Phillips | Specialist/Technologist | 5485 Mcginnis Ct, Doylestown, PA 18902-1371 | 2014-08-14 |
| 1669763702 | Jacqueline M Phillips | Pediatrics | 2979 Woodside Road, Woodside, CA 94062 | 2011-04-24 |
| 1356502710 | Jacqueline Goldsmith Phillips | Nurse Practitioner | 7215 Cameron Park Dr, Fort Smith, AR 72903-6167 | 2008-06-18 |
| 1619525268 | Jacqueline Phillips | Registered Nurse | 2595 S Cimarron Rd Ste 107, Las Vegas, NV 89117-2697 | 2019-08-27 |
| 1053861344 | Jacqueline Joy Phillips | Specialist | 561 Route 9w, Piermont, NY 10968-1116 | 2016-10-11 |
| 1730532276 | Jacqueline Phillips | Pharmacist | 118 Choctaw Dr, Hendersonville, TN 37075-4642 | 2016-07-20 |
| 1356741706 | Jacqueline Elise Marie Phillips | Developmental Therapist | 500 Fairway Dr, Ste. 102, Deerfield Beach, FL 33441-1814 | 2014-09-03 |
| 1073912895 | Jacqueline Phillips | Specialist/Technologist | 1216 Ordean Ct, 170 Sports & Health Center, Duluth, MN 55812-3032 | 2014-08-18 |
| 1508107459 | Jacqueline Rene Phillips | Rehabilitation Practitioner | 7381 Prairie Falcon Rd, Suite 110, Las Vegas, NV 89128-0811 | 2013-03-01 |
| Street Address |
6410 FANNIN ST STE 1014 ATTN: DIRECTOR OF NEUROPSYCHOLOGY |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-5301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114908753 | Kimberly E Monday | Psychiatry & Neurology | 6410 Fannin St Ste 1014, Houston, TX 77030 | 2005-11-10 |
| 1144841693 | Amanda Kay Breaux | Student in an Organized Health Care Education/Training Program | 6410 Fannin St Ste 1014, Houston, TX 77030-5301 | 2020-05-06 |
| 1295356202 | Elli Marie Hoge | Student in an Organized Health Care Education/Training Program | 6410 Fannin St Ste 1014, Houston, TX 77030-5301 | 2020-04-30 |
| 1497375927 | Abraham John | Student in an Organized Health Care Education/Training Program | 6410 Fannin St Ste 1014, Houston, TX 77030-5301 | 2020-04-24 |
| 1194345421 | Amy E Durand | Student in an Organized Health Care Education/Training Program | 6410 Fannin St Ste 1014, Houston, TX 77030-5301 | 2020-04-16 |
| 1275152837 | James Walker Wiggins | Student in an Organized Health Care Education/Training Program | 6410 Fannin St Ste 1014, Houston, TX 77030-5301 | 2020-04-14 |
| 1649899451 | Shirin Jamal Omidi | Student in an Organized Health Care Education/Training Program | 6410 Fannin St Ste 1014, Houston, TX 77030-5301 | 2020-04-11 |
| 1821627530 | Ashley Streseman | Student in an Organized Health Care Education/Training Program | 6410 Fannin St Ste 1014, Houston, TX 77030-5301 | 2020-04-04 |
| 1114556982 | Chiemela Basky Onyekere | Student in an Organized Health Care Education/Training Program | 6410 Fannin St Ste 1014, Houston, TX 77030-5301 | 2020-04-03 |
| 1629639166 | Muhammad Bilal Tariq | Student in an Organized Health Care Education/Training Program | 6410 Fannin St Ste 1014, Houston, TX 77030-5301 | 2019-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
| Find all providers in zip 77030 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710511753 | Gulf Coast Neuropsychology, Pllc | Clinical Neuropsychologist | 1110 Nasa Pkwy Ste 108c, Houston, TX 77058-3351 | 2020-02-28 |
| 1972097145 | Juliette Galindo | Clinical Neuropsychologist | 1333 Moursund Ave, Psychology/neuropsychology H124, Houston, TX 77030-3405 | 2018-06-20 |
| 1154876506 | Holly Carlson - Zhao | Clinical Neuropsychologist | 5858 Westheimer Rd Ste 200, Houston, TX 77057-5643 | 2016-08-15 |
| 1174979835 | Patricia De Oliveira Lima Munoz | Clinical Neuropsychologist | 10700 Richmond Ave Ste 105, Houston, TX 77042-4905 | 2016-05-11 |
| 1518367218 | Psychotherapy Partners | Clinical Neuropsychologist | 11811 North Fwy # I-45s, Suite 547, Houston, TX 77060-3245 | 2014-08-29 |
| 1851733208 | Christina L Burrows | Clinical Neuropsychologist | 1941 East Rd Ste 4358, Houston, TX 77054 | 2013-07-26 |
| 1871847822 | Hilda Julia Hannay | Clinical Neuropsychologist | 4800 Calhoun, University of Houston - Dept. of Psychology, Houston, TX 77204-5022 | 2012-10-30 |
| 1205104668 | Francisco I Perez, Ph.d. & Associates PC | Clinical Neuropsychologist | 6560 Fannin St Ste 1810, Houston, TX 77030-2726 | 2011-12-13 |
| 1518246636 | Shelia M Bailey | Clinical Neuropsychologist | 10503 Huff Dr, Houston, TX 77031-1816 | 2011-08-07 |
| 1104118058 | Carmen Pulido | Clinical Neuropsychologist | 15902 Heatherdale Dr, Houston, TX 77059-5920 | 2011-05-11 |
| Find all providers in HOUSTON | ||||
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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.