Individual provider Active NPI

Arleen Louise Phillips, MS EDUCATION

  • Specialist
  • Port Henry, NY
National Provider Identifier
1811878283
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
102252071 Issued in NY
Practice address
10 St Patrick PL
Port Henry, NY 12974-1200
Phone
(518) 546-3381
Fax
(518) 546-7138
NPI assigned
Sep 10, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 102252071 NY Primary

Addresses

Primary practice location

10 St Patrick PL
Port Henry, NY 12974-1200

Mailing address

6643 Main St
Westport, NY 12993-2005
Phone (518) 962-4303

Other practice location 1

39 Viking Ln
Port Henry, NY 12974-1615
Phone (518) 546-3301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
102252071NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Moriah Central School District Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1811878283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6643 MAIN ST",
            "city": "WESTPORT",
            "state": "NY",
            "postal_code": "129932005",
            "telephone_number": "518-962-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ST PATRICK PL",
            "city": "PORT HENRY",
            "state": "NY",
            "postal_code": "129741200",
            "telephone_number": "518-546-3381",
            "fax_number": "518-546-7138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39 Viking Ln",
            "address_purpose": "LOCATION",
            "city": "Port Henry",
            "state": "NY",
            "postal_code": "129741615",
            "country_code": "US",
            "telephone_number": "518-546-3301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ARLEEN",
        "middle_name": "LOUISE",
        "credential": "MS EDUCATION",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "102252071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Henry, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.