Irma I Phillips-Maxwell, CAP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CERTIFICATION #1979 Issued in FL

Practice address

2002 NW 13TH St
Suite 120
Gainesville, FL 32609-5414

Phone

(352) 376-1611

Fax

(352) 376-9482

NPI assigned

Sep 22, 2006

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053410191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1145",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326021145",
            "telephone_number": "352-376-1611",
            "fax_number": "352-376-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 NW 13TH ST",
            "address_2": "SUITE 120",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326095414",
            "telephone_number": "352-376-1611",
            "fax_number": "352-376-9482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS-MAXWELL",
        "first_name": "IRMA",
        "middle_name": "I",
        "name_prefix": "Mrs.",
        "credential": "CAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CERTIFICATION #1979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Philip, MD
• Kristen Philip, PA-C
• Mary Rose Philipoom
• Marianne Sioned Philipps, OTD
• William Denton Philips, MD
• Antwinette Phillips
• CJ Phillips
• Erica N Phillips
• Jeffrey M Phillips, M.D.
• Jessica Leah Phillips, RMHCI

• Addiction (Substance Use Disorder) Counselor in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Addiction (Substance Use Disorder) Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.