Phillip a Black LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2649 Issued in OK

Legal business name

PHILLIP A BLACK LLC

Practice address

4815 S Harvard Ave Ste 428
Tulsa, OK 74135-3068

Phone

(918) 605-8614

NPI assigned

Mar 1, 2016

Organization subpart

No

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

Authorized official

Name

Phillip A Black, MS

Title

Owner

Phone

(918) 605-8614

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1851751135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S SWEET GUM AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124543",
            "telephone_number": "918-605-8614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 S HARVARD AVE STE 428",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741353068",
            "telephone_number": "918-605-8614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP A BLACK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-605-8614",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "2649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deepa Philip
• Jovita Grace Philip
• Karen Philip
• Stacy Philip, MD
• Timothy Philip
• Phillip L. Cook, O.D., P.C.
• Phillip Turnage Optical, Inc.
• Georgia Jean Phillip
• Joy Phillippe, LPC
• Stephen Phillippe, MD

• Community/Behavioral Health Agency in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.