Tamara Faye Phillips, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

12805 Hwy 55 Ste 402
Plymouth, MN 55441-3868

Phone

(612) 326-3157

Fax

(612) 564-7195

NPI assigned

Dec 1, 2011

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

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.

• Autism Family Therapy Inc

  • Marriage & Family Therapist
  • Plymouth, MN
  • NPI 1194101212
  NPD (past) Authorized official
• Promise Sober Living LLC

  • Substance Abuse Rehabilitation Facility
  • Napa, CA
  • NPI 1568306108
  NPD
• Autism Society of Minnesota

  • Psychologist
  • Saint Paul, MN
  • NPI 1447236609
  NPD (past)

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1629346952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12805 HWY 55 STE 402",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554413868",
            "telephone_number": "612-326-3157",
            "fax_number": "612-564-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12805 HWY 55 STE 402",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554413868",
            "telephone_number": "612-326-3157",
            "fax_number": "612-564-7195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2380 Wycliff St",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551141279",
            "country_code": "US",
            "telephone_number": "651-647-1083 x17",
            "fax_number": "651-642-1230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2380 Wycliff St",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551141279",
            "country_code": "US",
            "telephone_number": "651-647-1083 x17",
            "fax_number": "651-642-1230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "TAMARA",
        "middle_name": "FAYE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-01",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie A Peterson, DDS
• Trent Skelly Peterson
• Alexia Pettersen, ICCE, ICBD, CLC
• Van Pham, DNP, APRN, FNP-C
• Sarah Phillips, PHARMD.
• Jessica Phommasouvanh
• Gamal M Phuly, PHARMD
• Jordan L Pickering
• Rebecca Pierce, LADC
• Nicholas Pierson, MA, LMFT

• Marriage & Family Therapist in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.