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KATHLEEN PHILLIPS MA
NPI 1689095846
Specialist in Melville, NY

Active since December 13, 2013
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747(631) 385-7780 Get Directions Write a Review

NPPES record last updated: July 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathleen Phillips Ma NPPES

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

KATHLEEN PHILLIPS MA (NPI 1689095846) is an individual specialist in Melville, New York and active in the NPI registry since December 2013. She maintains a secondary practice location in Middle Island.

NPPES Registry Identity

NPI1689095846
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameKATHLEEN PHILLIPSCredential: MA
Location Address225 BROADHOLLOW RD STE 402Melville, NY 11747-4899
Mailing Address354 Avenue ARonkonkoma, NY 11779-1940 · (631) 816-1106
Phone(631) 385-7780
Sole ProprietorNo
Enumeration DateDecember 13, 2013
Last NPPES UpdateJuly 11, 2019
✔ NPI 1689095846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedHealth EducatorTaxonomy 174H00000X
225 BROADHOLLOW RD STE 402, Melville, NY 11747
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Other Names 1

Former Name (1)Kathleen J Hennes Ba

Secondary Practice Location 1

Location 135 Longwood RdMiddle Island, NY 11953-2045 · Phone (631) 924-0008 · Fax (631) 924-4602

Other Providers at the Same Location NPPES 20

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

JACQUELYN J TENENZAPH
Behavior Analyst
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Suffolk County (631) 385-7780
ADRIANA MEDINA
Behavior Analyst
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Suffolk County (631) 385-7795
JADE MASON
Behavior Technician
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Suffolk County (631) 385-7780
SAMANTHA ANN SANGEMINO
Behavior Technician
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Suffolk County (631) 385-7780
EVALIS PAGAN
Behavior Technician
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Suffolk County (631) 385-7780
ELISSA V KHARGIE
Specialist
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Suffolk County (631) 385-7780
CARA MARIA DEANGELIS
Behavior Technician
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Suffolk County (631) 385-7780
MS. ALYSSA RUIZ
Behavior Technician
225 BROADHOLLOW RD STE 402
MELVILLE, NY 11747
Suffolk County (631) 385-7780

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 Kathleen Phillips's NPI number?

The NPI number for Kathleen Phillips is 1689095846. It was assigned to this individual provider in the NPPES registry on December 13, 2013. The provider is also known as Kathleen J Hennes Ba.

Where is Kathleen Phillips located?

Kathleen Phillips practices at 225 Broadhollow Rd Ste 402, Melville, NY 11747. The listed phone number is (631) 385-7780.

What is Kathleen Phillips's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kathleen Phillips was last updated on July 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.