Christin C Phillips

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

207 Fred Rains Dr
Sherwood, AR 72120-5457

Phone

(501) 834-0217

NPI assigned

Apr 7, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• North Hills Services Inc

  • Developmentally Disabled Services Day Training Agency
  • Sherwood, AR
  • NPI 1255456281
  NPD (past)

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1619618097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 DONAGHEY AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720345143",
            "telephone_number": "501-733-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 FRED RAINS DR",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721205457",
            "telephone_number": "501-834-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "CHRISTIN",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-07",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1124083118",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "280916795",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peeler Counseling Services LLC
• Lyric Pennington
• Danielle Permenter
• Taylor Danielle Person
• Peter Casey Enterprises LLC
• Sharon M Pickens, APN
• Erin J Pilcher, PHARMD.
• Joseph Charles Pinney Jr., D.D.S
• Playtime Childrens Therapies, LLC
• Bryanna R Porter

• Developmental Therapist in Sherwood, AR
• Providers in Sherwood, AR by specialty
• Developmental Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.