Philana Cicolello

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

656 Belmont Way
Chino Valley, AZ 86323-5795

Phone

(310) 256-0491

NPI assigned

Dec 15, 2022

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": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1033821558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 BELMONT WAY",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863235795",
            "telephone_number": "310-256-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "656 BELMONT WAY",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863235795",
            "telephone_number": "310-256-0491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICOLELLO",
        "first_name": "PHILANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-15",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carelock, LLC (Chino Urgent Care)
• Chino Valley Bible Church
• Chino Valley Chiropractic Clinic (Bowen Chiropractic and Wellness Center)
• Chino Valley PDC PLLC (Horizon Dental)
• Chino Valley Unified School District
• CL DDS PLLC
• April Rae Clark
• Kiley Lynn Comley, ATC, LAT
• Mark A Costes, D.D.S.
• Laura Brooke Covey, EMT

• Community/Behavioral Health Agency in Chino Valley, AZ
• Providers in Chino Valley, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.