Basil Phillips

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

2131 Hollywood Blvd
Site 407
Hollywood, FL 33020-6759

Phone

(954) 501-4017

Fax

(954) 237-7266

NPI assigned

May 30, 2015

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 30, 2015.

{
    "created_epoch": "1432944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432944000000",
    "number": "1710367263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 HOLLYWOOD BLVD",
            "address_2": "SITE 407",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 HOLLYWOOD BLVD",
            "address_2": "SITE 407",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206759",
            "telephone_number": "954-501-4017",
            "fax_number": "954-237-7266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "BASIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-30",
        "last_updated": "2015-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priya Philip, PA-C
• Sherry Aju Philip, APRN
• Sherica Philippe, ARNP. FNP-C
• Athlene Phillips
• Barnell Phillips III, M.D.
• Jacqueline Yevette Phillips
• Jonathan Phillips, PHARMD
• Kaitlyn Kristi Phipps
• Physical Therapy Institute and Aquatic Rehab, Inc.
• Physician Associates of Broward Inc

• All providers in Hollywood, FL
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2015; 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.