Chaniqua Cassandra Phillips, MSED

Primary specialty

SpecialistTaxonomy code 174400000X

License

1865108 Issued in NY

Practice address

14750 72ND Dr Apt 1a
Kew Gardens Hills, NY 11367-2536

Phone

(347) 737-6795

NPI assigned

Jul 30, 2014

Last updated

Jul 30, 2014By 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

Other names 1

• Prof. Cassandra Phillips Professional name

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": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1275941593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14750 72ND DR APT 1A",
            "city": "KEW GARDENS HILLS",
            "state": "NY",
            "postal_code": "113672536",
            "telephone_number": "347-737-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14750 72ND DR APT 1A",
            "city": "KEW GARDENS HILLS",
            "state": "NY",
            "postal_code": "113672536",
            "telephone_number": "347-737-6795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "CHANIQUA",
        "middle_name": "CASSANDRA",
        "name_prefix": "Prof.",
        "credential": "MSED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-30",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1865108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CASSANDRA",
            "last_name": "PHILLIPS",
            "prefix": "PROF.",
            "credential": "MSED",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nicole Nicotra
• Mary Patricia Odoherty, LPN
• Chana R Opoczynski
• Maria Angelica Ortiz Bautista
• Rosa M Pardo, LMSW
• Carol Ann Potter, M.A., C.C.C./SLP
• Mary Frances Reilly, PT
• William Richards IV, M.S.ED.
• Barbara Lynne Rosen, LCSW
• Uri F Schneider, MA, CCC-SLP

• Specialist in Kew Gardens Hills, NY
• Providers in Kew Gardens Hills, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; 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.