Malicah Chantal Phillips

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Practice address

7000 Austin St Ste 200
Forest Hills, NY 11375-4739

Phone

(917) 371-6402

NPI assigned

Dec 30, 2016

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

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.

{
    "created_epoch": "1483056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1811432875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 59TH ST APT B11",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113773405",
            "telephone_number": "917-371-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 AUSTIN ST STE 200",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754739",
            "telephone_number": "917-371-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MALICAH",
        "middle_name": "CHANTAL",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-30",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebeca Kim Pham, OD
• Trang Pham, B.S. PSYCHOLOGY
• Philip J. Lopresti D.O., P.C.
• Constance Baker Phillips, DDS
• Irene Phillips, LCSW
• Yesenia Phillips, M.A CCC-SLP
• Physical Medicine & Rehabilitation Consultant, P.C.
• Physical Therapy and Chiropractic PLLC
• Physio World LLC
• Tzi-Yen Pi

• Early Intervention Provider Agency in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.