Active NPI
Patricia Alden Phillips, COTA/L, BAP
- Counselor
- Dartmouth, MA
National Provider Identifier
1982141016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1201
- Practice address
- 30 Stonewall Ave
Dartmouth, MA 02747-5318 - Phone
- (774) 929-5555
- NPI assigned
- Jan 26, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1201 | MA | Primary |
Addresses
Primary practice location
30 Stonewall Ave
Dartmouth, MA 02747-5318
Mailing address
30 Stonewall Ave
Dartmouth, MA 02747-5318
Phone (774) 929-5555
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1201 | MA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485388800000",
"number": "1982141016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 STONEWALL AVE",
"city": "DARTMOUTH",
"state": "MA",
"postal_code": "027475318",
"telephone_number": "774-929-5555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 STONEWALL AVE",
"city": "DARTMOUTH",
"state": "MA",
"postal_code": "027475318",
"telephone_number": "774-929-5555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "PATRICIA",
"middle_name": "ALDEN",
"name_prefix": "Mrs.",
"credential": "COTA/L, BAP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-26",
"last_updated": "2017-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MA",
"license": "1201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dartmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.