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JAQUELINE L PHILLIPS
NPI 1386809572
Counselor - Addiction (Substance Use Disorder) in Brooklyn, NY

Active since July 28, 2008
3619 QUENTIN RD, BROOKLYN, NY 11234(718) 998-7500(718) 998-7955 Get Directions Write a Review

NPPES record last updated: July 28, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jaqueline L Phillips NPPES

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

JAQUELINE L PHILLIPS (NPI 1386809572) is an individual addiction (substance use disorder) provider in Brooklyn, New York and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1386809572
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJAQUELINE L PHILLIPS
Location Address3619 QUENTIN RDBrooklyn, NY 11234-4203
Mailing AddressPo Box 31094Hartford, CT 06150-1094 · (518) 952-8140 · Fax (518) 952-8287
Phone(718) 998-7500
Fax(718) 998-7955
Sole ProprietorNo
Enumeration DateJuly 28, 2008
✔ NPI 1386809572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
3619 QUENTIN RD, Brooklyn, NY 11234
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Other Identifiers 1

Medicaid01420795NY

Other Providers at the Same Location NPPES 3

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

GILA WISEMON CASAC-T
Counselor (Addiction (Substance Use Disorder))
3619 QUENTIN RD
BROOKLYN, NY 11234
Kings County (718) 998-7500
MS. DIANA CASTELLANO LCSW
Social Worker (Clinical)
3619 QUENTIN RD
BROOKLYN, NY 11234
Kings County (718) 520-6460
ARMS ACRES INC
Clinic/Center (Rehabilitation, Substance Use Disorder)
3619 QUENTIN RD
BROOKLYN, NY 11234
Kings County (718) 998-7500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaqueline Phillips's NPI number?

The NPI number for Jaqueline Phillips is 1386809572. It was assigned to this individual provider in the NPPES registry on July 28, 2008.

Where is Jaqueline Phillips located?

Jaqueline Phillips practices at 3619 Quentin Rd, Brooklyn, NY 11234. The listed phone number is (718) 998-7500.

What is Jaqueline Phillips's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jaqueline Phillips was last updated on July 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.