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PHILLIP D BURRILL
NPI 1740511609
Marriage & Family Therapist in Santa Rosa, CA

Active since January 15, 2010Opted out of Medicare · through Nov 20, 2026
2225 CHALLENGER WAY, SANTA ROSA, CA 95407(707) 565-3410(707) 565-6914 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Phillip D Burrill NPPES

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

PHILLIP D BURRILL (NPI 1740511609) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (84557) and active in the NPI registry since January 2010. He has opted out of Medicare through November 20, 2026 and maintains a secondary practice location in Hayward.

NPPES Registry Identity

NPI1740511609
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NamePHILLIP D BURRILL
Location Address2225 CHALLENGER WAYSanta Rosa, CA 95407-5441
Mailing Address2225 Challenger WaySanta Rosa, CA 95407-5441 · (707) 565-3410
Phone(707) 565-3410
Fax(707) 565-6914
Sole ProprietorNo
Enumeration DateJanuary 15, 2010
Last NPPES UpdateMarch 15, 2021
NPPES CertifiedMarch 15, 2021
✔ NPI 1740511609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CA · 84557✔ Licensed in CA · 58914
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

2225 CHALLENGER WAY, Santa Rosa, CA 95407
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Secondary Practice Location 1

Location 122455 Maple Ct, Suite 402Hayward, CA 94541-4020 · Phone (510) 582-0148

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Phillip D Burrill has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 20, 2024 through November 20, 2026.

Opt-Out Effective DateNovember 20, 2024
Opt-Out In Effect ThroughNovember 20, 2026Opt-out affidavits renew automatically every two years unless cancelled

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.

RACHEL J AVILA
Counselor (Addiction (Substance Use Disorder))
2225 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 565-5510
MS. ELIZABETH DONOHUE M.A., LMFT
Marriage & Family Therapist
2225 CHALLENGER WAY, ACCESS TEAM
SANTA ROSA, CA 95407
Sonoma County (707) 565-4981
MR. BRUCE BLACK PSYCH TECH
Licensed Psychiatric Technician
2225 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 576-8181
YOLANDA M. SPENCER LVN, CPT1
Licensed Vocational Nurse
2225 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 565-4850
MRS. LUCILLE A CAPO ROME NP
Registered Nurse (Psychiatric/Mental Health, Adult)
2225 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 565-6625
AARON O QUINONES SOSA LVN
Licensed Vocational Nurse
2225 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 576-8181
STEPHEN WILSEY LEUPOLD
Marriage & Family Therapist
2225 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 565-4970
DR. LISA ANN MORAN M.D.
Psychiatry & Neurology (Psychiatry)
2225 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 565-4970

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 Phillip Burrill's NPI number?

The NPI number for Phillip Burrill is 1740511609. It was assigned to this individual provider in the NPPES registry on January 15, 2010.

Where is Phillip Burrill located?

Phillip Burrill practices at 2225 Challenger Way, Santa Rosa, CA 95407. The listed phone number is (707) 565-3410.

What is Phillip Burrill's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Phillip Burrill enrolled in Medicare?

No. Phillip Burrill has opted out of Medicare through November 20, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Phillip Burrill was last updated on March 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.