Jesse Philips, M.F.T.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

M14215 Issued in CA

Practice address

637 Milwood Ave
Venice, CA 90291-3862

Phone

(310) 301-0484

NPI assigned

Jan 30, 2007

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

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992842108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 MILWOOD AVE",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902913862",
            "telephone_number": "310-301-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 MILWOOD AVE",
            "city": "VENICE",
            "state": "CA",
            "postal_code": "902913862",
            "telephone_number": "310-301-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILIPS",
        "first_name": "JESSE",
        "name_prefix": "Mr.",
        "credential": "M.F.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "M14215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Perez Jr.
• Victor Hugo Perez, M.D.
• Lea Nicole Perry, LMFT
• Stanley Carl Perryman II, AOD COUNSELOR
• Mandy Christina Pfaff, MFT
• Phoenix Houses of Los Angeles, Inc.
• Nancy Marie Pierre-Paul, FNP-C
• Sandra Janet Pineda, PHARM.D.
• Allen Pitts
• Anthea Pitysingh

• Marriage & Family Therapist in Venice, CA
• Providers in Venice, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.