Teedi Phillips

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Practice address

1316 19TH Ave SW
Decatur, AL 35601-3756

Phone

(256) 654-9181

NPI assigned

Sep 18, 2023

Last updated

Jan 5, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Harmony Haven Homes

  • Intellectual & Developmental Disabilities Psychologist
  • Decatur, AL
  • NPI 1598535908
  NPD Authorized official

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1982482311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3224 SWEETBRIAR RD SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356033168",
            "telephone_number": "256-654-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1316 19TH AVE SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356013756",
            "telephone_number": "256-654-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "TEEDI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa L Philippart
• Davitta C Phillips
• Debra Brown Phillips, CRNP
• Hannah N Phillips, MSW
• Stephanie Sutter Phillips, CRNP
• Physynergy, LLC
• Linda M Pierce, BS
• Pill Box Pharmacy Inc
• Angela Piper
• Pitts Chiropractic Center

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Decatur, AL
• Providers in Decatur, AL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.