Addis R Phillips

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2793 S Oakland Forest Dr
Oakland Park, FL 33309-7550

Phone

(786) 444-0545

NPI assigned

Aug 25, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1013792399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2793 S OAKLAND FOREST DR",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333097550",
            "telephone_number": "786-444-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2793 S OAKLAND FOREST DR",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333097550",
            "telephone_number": "786-444-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ADDIS",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Jean Pflugradt, APRN
• PGRX Wellness
• Pharmacy Xpress of FL ,III,LLC.
• Cindy Philippe, LCSW
• Marie Jocelyne Philippe
• Gail C Phillips, PHARMACIST
• Phlebotek Solutions Corporation
• Physical Therapy Now Oakland Park LLC
• Phytogenics LLC
• Phytogenix RX

• Mental Health Counselor in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.