TRACEY LYNN PHILLIPS PhD, NPI 1740465434
Psychologist in MITCHELLVILLE, MD
Last Updated on : Feb 04,2016
About TRACEY LYNN PHILLIPS (NPI 1740465434)
TRACEY LYNN PHILLIPS is a Psychologist provider in MITCHELLVILLE, United States. Her medical specialization is Psychologist with a focus in Clinical.
1740465434 is NPI number of TRACEY LYNN PHILLIPS.
TRACEY LYNN PHILLIPS's primary taxonomy code based on NPI Lookup is 103TC0700X with license number 05633. This taxonomy code refers to Psychologist.
TRACEY LYNN PHILLIPS has more than 14 years of experience.
TRACEY LYNN PHILLIPS current practice location address is 10422 SPENCER CT, MITCHELLVILLE, MD. TRACEY LYNN PHILLIPS can be reached out via phone at 301-336-4751 .
You can also correspond with TRACEY LYNN PHILLIPS through mail at mailing address 10422 SPENCER CT, MITCHELLVILLE, MD, United States. Mailing address contact number is 301-336-4751.
The enumeration date of TRACEY LYNN PHILLIPS is 01-Jan-2008. The provider is registered as an Individual and the NPI record was last updated 7 years ago.1740465434 NPI Information
Basic NPI information of TRACEY LYNN PHILLIPS (NPI 1740465434) is provided below.
| Name | TRACEY LYNN PHILLIPS |
|---|---|
| National Provider Id (NPI) | 1740465434 |
| Entity Type | Individual |
| Gender | F |
| Credential | PhD |
| Practice Address | 10422 SPENCER CT,
MITCHELLVILLE, MD, United States |
| Practice Telephone | 301-336-4751 |
| Practice Fax Number | |
| Mailing Address | 10422 SPENCER CT ,
MITCHELLVILLE, MD, United States |
| Mailing Telephone | 301-336-4751 |
| Mailing Fax Number | |
| Enumeration Date | 01-Jan-2008 |
| Last Updated Date | 04-Feb-2016 |
TRACEY LYNN PHILLIPS (NPI 1740465434) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 103TC0700X | Psychologist, Clinical | 05633 | MD |
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
TRACEY LYNN PHILLIPS (NPI 1740465434) Secondary Taxonomy Information
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | 0119001008 | VA |
TRACEY LYNN PHILLIPS (NPI 1740465434) Office Location
Office location of TRACEY LYNN PHILLIPS is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1760757678 | LAURA MOONEY | Chiropractor | 301 CENTER AVE S,
MITCHELLVILLE, IA, United States |
12-Mar-2012 |
| 1235635285 | DES MOINES CENTRAL CORRECTIONAL PHARMACY | Pharmacy | 250 ELM AVE SW,
MITCHELLVILLE, IA, United States |
30-Mar-2018 |
| 1083077721 | KADEL MEDICAL SERVICES, LLC | Non-emergency Medical Transport (VAN) | PO BOX 551,
ALTOONA, IA, United States |
31-Mar-2016 |
| 1073570446 | THOMAS PAUL TRESKA | Dentist, General Practice | 9439 HAMMONTREE DR,
URBANDALE, IA, United States |
28-Apr-2006 |
| 1295054997 | STEVEN MICHAEL COOK | General Practice | 300 ELM ST SW,
BOX 700 MITCHELLVILLE, IA, United States |
20-May-2010 |
| 1346552676 | JOHN W. ANDERSON | Contractor, Home Modifications | 112 CENTER AVE S,
MITCHELLVILLE, IA, United States |
01-Jul-2010 |
| 1992736631 | CITY OF MITCHELLVILLE | Public Health or Welfare | PO BOX 817,
MITCHELLVILLE, IA, United States |
05-Jul-2006 |
| 1891713426 | SUSAN MARGARET SHIELDS | Pharmacist | 732 18TH ST APT 401,
DES MOINES, IA, United States |
18-Jul-2006 |
| 1679566392 | QHC MITCHELLVILLE LLC | Skilled Nursing Facility | 114 CARTER ST SW,
MITCHELLVILLE, IA, United States |
28-Aug-2005 |
| 1447333109 | JANICE MARIE HARBAUGH | Counselor | 4930 NE 116TH ST,
MITCHELLVILLE, IA, United States |
23-Oct-2006 |
| 1366729204 | JASON MOONEY | Chiropractor | 301 CENTER AVE S,
MITCHELLVILLE, IA, United States |
07-Nov-2011 |
| 1558736447 | TIMOTHY KADEL | Non-emergency Medical Transport (VAN) | PO BOX 551,
ALTOONA, IA, United States |
03-Dec-2015 |
| 1508240870 | BONDURANT FAMILY CHIROPRACTIC, PC | Chiropractor, Pediatric Chiropractor | 301 CENTER AVE S,
MITCHELLVILLE, IA, United States |
16-Jul-2015 |
| 1972880698 | MITCHELLVILLE FAMILY CHIROPRACTIC P. C. | Chiropractor | 301 CENTER AVE S,
MITCHELLVILLE, IA, United States |
09-Nov-2011 |
| 1104459254 | JERED FLINKMAN | Nurse Practitioner, Psych/Mental Health | 420 MILL ST SW,
MITCHELLVILLE, IA, United States |
18-Feb-2020 |
| 1770257487 | KELSIE TUCKER | Occupational Therapist | 7755 OFFICE PLAZA DR. S,
SUITE 105 WEST DES MOINES, IA, United States |
05-Aug-2021 |
| 1124763354 | BLUE CARE OPCO MITCHELLVILLE, LLC | Nursing Facility/Intermediate Care Facility | 36 AIRPORT RD # S206,
LAKEWOOD, NJ, United States |
02-May-2022 |
| 1467184085 | TYLER KRUSE | Chiropractor | 9928 NE 75TH AVE,
MITCHELLVILLE, IA, United States |
30-Jun-2022 |
| 1598473621 | MELISSA MARIE FORKNER | Nurse Practitioner, Family | 707 PATCHETT DR NE,
MITCHELLVILLE, IA, United States |
08-Nov-2022 |
| 1740465434 | TRACEY LYNN PHILLIPS | Psychologist, Clinical | 10422 SPENCER CT,
MITCHELLVILLE, MD, United States |
01-Jan-2008 |
How to check whether NPI 1063496693 is valid?
The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
FAQs
Whose NPI Number is 1740465434?1740465434 is the NPI number of TRACEY LYNN PHILLIPS.
What is the specialty for TRACEY LYNN PHILLIPS?The Specialty of TRACEY LYNN PHILLIPS is Psychologist.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|