MR. RICHARD WAYNE PHILLIPS (NPI# 1891951141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891951141 |
| Entity Type | Individual |
| Full Name | MR. RICHARD WAYNE PHILLIPS |
| Credential | PT |
| Practice Address |
720 Wood St Eureka CA 95501-4413 |
| Mailing Address |
1480 Erin Ct Eureka CA 95503-6175 |
| Practice Telephone | 7072682990 |
| Mailing Telephone | 7074976749 |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2008-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | PT26065 | CA | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BVNPTE | PT26065 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275897209 | Richard Phillips | Dental Hygienist | 200 Kendall Dr Ste 1, Lamar, CO 81052-3940 | 2012-06-25 |
| 1134435068 | Richard A Phillips | Pharmacist | 230 Hidden Hills Dr, Greenville, SC 29605-3266 | 2010-08-30 |
| 1467606665 | Richard Steven Phillips | Dentist | 224 W Avenida Valencia, San Clemente, CA 92672-4242 | 2008-11-14 |
| 1477746352 | Richard Russell Phillips IIi | Psychologist | 2307 Massachusetts Ave, Cambridge, MA 02140-1227 | 2007-08-23 |
| 1336361666 | Richard L Phillips | Radiology | 335 Old Mill Road, Barrington, IL 60010-4734 | 2007-05-03 |
| 1538201991 | Richard John Phillips Jr. | Dentist | 632 South Eremland Dr, Covina, CA 91743-3523 | 2007-02-13 |
| 1437225943 | Richard L Phillips | Optometrist | 903 Third Ave, New Brighton, PA 15066-1916 | 2006-11-27 |
| 1558311308 | Richard Paul Phillips | Audiologist | 5135 Morganton Rd, Rm 109, Fayetteville, NC 28314-1525 | 2006-05-11 |
| 1316571359 | Richard Phillips | Clinic/Center | 5 N Main St, Englewood, OH 45322-1326 | 2020-02-28 |
| 1518454933 | Richard Phillips | Case Manager/Care Coordinator | 1825 E Broadway St, Forrest City, AR 72335-3409 | 2018-04-20 |
| Street Address |
720 WOOD ST |
| City | EUREKA |
| State | CA |
| Zip Code | 95501-4413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780646521 | Janese Charpentier | Nurse Practitioner | 720 Wood St, Eureka, CA 95501-4413 | 2006-04-05 |
| 1215537998 | Angela Dawn Tierno Blackthorne | Counselor | 720 Wood St, Eureka, CA 95501-4413 | 2020-10-30 |
| 1164029534 | Laura Tansley Conger | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2020-10-07 |
| 1679170120 | Robert William Williams | Community Health Worker | 720 Wood St, Eureka, CA 95501-4413 | 2020-10-07 |
| 1144827049 | James Rager Anderson | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2020-10-04 |
| 1710593173 | Jody Swan | Student in an Organized Health Care Education/Training Program | 720 Wood St, Eureka, CA 95501-4413 | 2020-09-21 |
| 1669088340 | Eric Hall | Community Health Worker | 720 Wood St, Eureka, CA 95501-4413 | 2020-09-18 |
| 1073127403 | Christiane Desir | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2020-09-02 |
| 1093325508 | Edmund Sanez Lao | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2020-08-09 |
| 1730799180 | Robert Christopher Amerman | Counselor | 720 Wood St, Eureka, CA 95501-4413 | 2020-07-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795919 | Eric Meyer Goldsmith | Physical Therapist | 2306 Dean Street, Eureka, CA 95501 | 2020-03-18 |
| 1609406404 | Humboldt County Behavioral Health | Community/Behavioral Health | 638 W Clark St., Bldg. E, Eureka, CA 95501 | 2020-01-21 |
| 1740831767 | Jacqueline Renee Coghill | Nurse Practitioner | Waterfront Recovery Services, 2413 2nd St, Eureka, CA 95501 | 2019-09-20 |
| 1982177275 | Jenny Bugnacki | Case Manager/Care Coordinator | 721 Wood St, Eureka, CA 95501 | 2019-01-09 |
| 1073023107 | Humboldt Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 1303 11th St, Eureka, CA 95501 | 2017-10-03 |
| 1730698283 | Gabriel Holtski | Naturopath | 1632 Broadway, Suite #252, Eureka, CA 95501 | 2017-09-27 |
| 1164951851 | Redwood Community Services, Inc. | Foster Care Agency | 2426 6th St, Eureka, CA 95501 | 2017-06-07 |
| 1033651922 | Narum Clinical Services | Social Worker | 930 3rd St, Suite 201, Eureka, CA 95501 | 2016-11-09 |
| 1750839510 | Sierra Marie Evers-hellmich | Physical Medicine & Rehabilitation | 2103 Myrtle Avenue, Eureka, CA 95501 | 2016-09-21 |
| 1558720623 | Jennifer Vu | Behavioral Analyst | 730 7th St Ste A, Eureka, CA 95501 | 2016-02-18 |
| Find all providers in zip 95501 | ||||
| Taxonomy Code | 167G00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Psychiatric Technician |
| An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861053720 | Delaney Andrus | Licensed Psychiatric Technician | 720 Wood St, Eureka, CA 95501-4413 | 2019-06-21 |
| 1881061604 | Samuel Esteban Navarro | Licensed Psychiatric Technician | 720 Wood St, Eureka, CA 95501-4413 | 2015-08-27 |
| 1700147295 | Carol Petty | Licensed Psychiatric Technician | 720 Wood St, Eureka, CA 95501-4413 | 2012-05-31 |
| 1649559352 | Shayna Clark | Licensed Psychiatric Technician | 720 Wood St, Eureka, CA 95501-4413 | 2011-08-11 |
| 1366742264 | Robin Renee Jones | Licensed Psychiatric Technician | 720 Wood St, Eureka, CA 95501-4413 | 2010-10-25 |
| 1104099548 | Bruce Stanley Cavers | Licensed Psychiatric Technician | 720 Wood St, Eureka, CA 95501-4413 | 2008-04-07 |
| 1770619017 | Wendy Tutor | Licensed Psychiatric Technician | 720 Wood St, Eureka, CA 95501-4413 | 2007-02-23 |
| 1114067238 | Emily Barnes | Licensed Psychiatric Technician | 720 Wood St, Eureka, CA 95501-4413 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203592 | Leahann Vedella | Licensed Psychiatric Technician | 2398 Flatley Cir, Fairfield, CA 94533-8921 | 2020-10-23 |
| 1225635865 | Thalia I. Rochel | Licensed Psychiatric Technician | 450 E Temple St, Los Angeles, CA 90012-4022 | 2020-10-06 |
| 1427665090 | Egbert Tantiongco | Licensed Psychiatric Technician | 1460 E Willow St, Signal Hill, CA 90755-3549 | 2020-09-28 |
| 1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
| 1841801479 | Mercedes Samantha Hamilton | Licensed Psychiatric Technician | 18465 Grand Ave, Lake Elsinore, CA 92530 | 2020-08-17 |
| 1609491935 | Elisa Becerra | Licensed Psychiatric Technician | 745 Park St, Paso Robles, CA 93446-2834 | 2020-06-12 |
| 1518581099 | Theresa Lynn Stewart | Licensed Psychiatric Technician | 1110 Newport Way, Roseville, CA 95661-5315 | 2020-06-01 |
| 1093337511 | Christine Ann Scheuermann | Licensed Psychiatric Technician | 1447 Report Ave, Stockton, CA 95205-3030 | 2020-05-07 |
| 1477189512 | Sandra J Foshee | Licensed Psychiatric Technician | 48918 Mojave Dr, Morongo Valley, CA 92256-9243 | 2020-03-20 |
| 1376177725 | Chanel Christine Turpin | Licensed Psychiatric Technician | 450 Kings County Dr Ste 102, Hanford, CA 93230-5782 | 2020-02-25 |
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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.