MICHAEL PHILLIPS JR.
NPI 1013312578
Counselor in Somerville, MA

Active since October 27, 2014
11 WARD ST STE 200, SOMERVILLE, MA 02143(617) 629-6790 Get Directions Write a Review

NPPES record last updated: October 27, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michael Phillips Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL PHILLIPS JR. (NPI 1013312578) is an individual counselor in Somerville, Massachusetts, licensed in Massachusetts (S97347966) and active in the NPI registry since October 2014.

NPPES Registry Identity

NPI1013312578
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMICHAEL PHILLIPS JR.
Location Address11 WARD ST STE 200Somerville, MA 02143-4214
Mailing Address11 Ward St Ste 200Somerville, MA 02143-4214
Sole ProprietorNo
Enumeration DateOctober 27, 2014
NPI 1013312578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in MA · S97347966
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

11 WARD ST STE 200, Somerville, MA 02143

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
11 WARD ST STE 200
SOMERVILLE, MA 02143

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013312578, enumerated as an "individual" on October 27, 2014.

The provider is located at 11 WARD ST STE 200 SOMERVILLE, MA 02143 and the phone number is (617) 629-6790.

Counselor with taxonomy code 101Y00000X.