Catrin Trevena Phillips, RADT1

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1193410215 Issued in CA

Practice address

9370 Marlemont Cir
Elk Grove, CA 95758-7605

Phone

(916) 691-3131

NPI assigned

May 5, 2015

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

Other identifiers 1

Other names 1

• Miss Catrin Trevena Phillips Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1821475211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9370 MARLEMONT CIR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587605",
            "telephone_number": "916-531-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9370 MARLEMONT CIR",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587605",
            "telephone_number": "916-691-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "CATRIN",
        "middle_name": "TREVENA",
        "name_prefix": "Miss",
        "credential": "RADT1",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1193410215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "1215287933",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATRIN",
            "last_name": "PHILLIPS",
            "middle_name": "TREVENA",
            "prefix": "MISS",
            "credential": "RADT-1",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Trung Tan Pham
• Vy Nguyen Thuy Pham
• Thomas Tuan Phan, DDS
• Trang Thuy Phan
• Victor Phan, PHARMD
• David Phillips
• Kody Phillips
• Penny Lynn Phipps, DDS
• Leya Phomphachanh
• Allyssa B Phonglom

• Addiction (Substance Use Disorder) Counselor in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.