Justin Jerome Phillips, MSW

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

4021 Laclede Ave # 23211
Saint Louis, MO 63108-3271

Phone

(313) 724-2669

NPI assigned

Jan 31, 2020

Last updated

Jan 31, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580428800000",
    "number": "1891326559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23211",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631563211",
            "telephone_number": "313-724-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4021 LACLEDE AVE # 23211",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631083271",
            "telephone_number": "313-724-2669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "JUSTIN",
        "middle_name": "JEROME",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "JUSTINSCONSULTING@GMAIL.COM",
            "affiliation": "N",
            "endpointDescription": "JUSTINSCONSULTING@GMAIL.COM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "BUSINESS EMAIL",
            "address_1": "4021 Laclede Ave",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631083271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Arielle Phillips
• Buffie M Phillips
• Caroline Marie Phillips, CRNA
• Emily Kristine Phillips, MD
• Julia Kathryn Phillips, M.D.
• Maria Phillips
• Mariah Imani Phillips, DDS
• Merci Phillips
• Nancy J Phillips, MD
• Patricia Shakema Phillips

• Community/Behavioral Health Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Community/Behavioral Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.