MS. SUSAN ELIZABETH PHILLIPS PMHCNS NPI 1033225404

NPI Information

NPI: 1033225404
Provider Name: MS. SUSAN ELIZABETH PHILLIPS, PMHCNS
Classification: Clinical Nurse Specialist - 364SP0809X
Entity Type: Individual

Specialization: Psychiatric/Mental Health, Adult

PECOS Registration: Yes

Address:
1207 W STATE ST STE M
ALLIANCE, OH
ZIP 44601
Phone: (330) 820-8407
Get Directions

MS. Susan Elizabeth Phillips, PMHCNS is a psychiatric/mental health and adult clinical nurse specialist in Alliance, OH with 13 years of experience. MS. Susan Elizabeth Phillips, PMHCNS NPI is 1033225404. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1207 W STATE ST STE M
ALLIANCE, OH
ZIP 44601-686
Phone: (330) 820-8407
Fax: (330) 821-8506

The NPI 1033225404 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 12/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SP0809X	Clinical Nurse Specialist	Psychiatric/Mental Health, Adult	RN 19977 / NS 01101	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0105343	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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