Anita Marie Phillips

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

041473762 Issued in IL

Practice address

142 E 154TH St
Harvey, IL 60426-3326

Phone

(708) 566-1768

NPI assigned

Apr 14, 2025

Last updated

Apr 14, 2025By the provider in NPPES

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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Choice Intervention, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Harvey, IL
  • NPI 1093394215
  NPD
• New Choice Intervention, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Harvey, IL
  • NPI 1275967226
  NPD (past)

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1215722756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 E 154TH ST",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604263326",
            "telephone_number": "708-566-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 E 154TH ST",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604263326",
            "telephone_number": "708-566-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ANITA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "041473762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ricky Patel
• Patient Manager Services
• Peace Medical Center, S.C.
• Lisa Peng, M.D.
• Carol Peppers-Taylor, LCPC
• Physicians Community Medical Center Harvey, S.C.
• Gwendolyn Denise Pinkney, FNP
• Pramod K Anand, M.D. LTD (Pramod K Anand, M.D.)
• Dorothy S Price, LCSW
• Psycynergy Psychological Services

• Student in an Organized Health Care Education/Training Program in Harvey, IL
• Providers in Harvey, IL by specialty
• Student in an Organized Health Care Education/Training Program in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.