Phelps Partners, PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6301014756 Issued in MI

Legal business name

PHELPS PARTNERS, PC

Practice address

4200 W Michigan Ave
Suite 211
Kalamazoo, MI 49006-5892

Phone

(269) 370-3038

Fax

(269) 743-4188

NPI assigned

Jul 19, 2011

Last updated

Jul 19, 2011By 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

Mrs. Shelly M Phelps, MA, TLLP, CH.TNPI 1841598174

Title

Owner

Phone

(269) 370-3038

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Shelly Marie Phelps, M.A. TLLP

  • Psychologist
  • Kalamazoo, MI
  • NPI 1841598174
  NPD (past) Authorized official
• Holly Ann Vestal, M.S.W.

  • Clinical Social Worker
  • Kalamazoo, MI
  • NPI 1790022176
  NPD (past)

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1538457932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 W MICHIGAN AVE",
            "address_2": "SUITE 211",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490065892",
            "telephone_number": "269-370-3038",
            "fax_number": "269-743-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 W MICHIGAN AVE",
            "address_2": "SUITE 211",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490065892",
            "telephone_number": "269-370-3038",
            "fax_number": "269-743-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHELPS PARTNERS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-370-3038",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, TLLP, CH.T"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MI",
            "license": "6301014756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Peyerk
• Michael Dominic Pezzillo, MD
• Patricia Ann Pfau, P.A.-C.
• Sara Paige Pfeil
• Bradley Phares, DDS, MS
• Paul Phelps Sr., MAR
• Shelly Marie Phelps, M.A. TLLP
• Jennifer Philburn, DO
• Mary Philipp, MA, LLP
• Phillip T. Doyle DDS PC

• Community/Behavioral Health Agency in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.