Mariel Phillip, D.C.,LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

DCP00577 Issued in RI

Legal business name

MARIEL PHILLIP, D.C.,LLC

Practice address

1243 Mineral Spring Ave
Suite 209
North Providence, RI 02904-4636

Phone

(401) 952-0369

Fax

(401) 722-7631

NPI assigned

Aug 11, 2009

Last updated

Aug 11, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mariel K Phillip, D.C.NPI 1407003304

Title

Chiropractic Physician

Phone

(401) 952-0369

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mariel K Phillip

  • Chiropractor
  • North Providence, RI
  • NPI 1407003304
  Authorized official Same address or phone

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1245462175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 MINERAL SPRING AVE",
            "address_2": "SUITE 209",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044636",
            "telephone_number": "401-952-0369",
            "fax_number": "401-722-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 MINERAL SPRING AVE",
            "address_2": "SUITE 209",
            "city": "NORTH PROVIDENCE",
            "state": "RI",
            "postal_code": "029044636",
            "telephone_number": "401-952-0369",
            "fax_number": "401-722-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIEL PHILLIP, D.C.,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "PHILLIP",
        "authorized_official_first_name": "MARIEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "401-952-0369",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "RI",
            "license": "DCP00577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert William Macdonald Jr., LCSW
• Peter A. Macgillivray, D.D.S.
• Michael Robert Malanga, MD
• Susan D Mandel, LICSW MSW
• John Manousos, DMD
• Ana Marin
• Maria Mariorenzi-Barone, C.R.N.A.
• Barbara Martin, LICSW
• Ruben Gabriel Martinez, PHD
• Mas Medical Staffing (MAS Home Care of NH)

• Point of Service in North Providence, RI
• Providers in North Providence, RI by specialty
• Point of Service in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.