Donald Phillip Mckillop in Berkeley - Clinical
Donald Phillip Mckillop - NPI 1194815407
Donald Phillip Mckillop is a Clinical in Berkeley, California. Donald Phillip Mckillop practices all healthcare services and medical treatments related to Clinical. The NPI Number for Donald Phillip Mckillop is 1194815407. The last update date is 2007-07-08.
Donald Phillip Mckillop's current location address is 2820 Adeline St, Berkeley, California. You can contact this provider via phone number 5108485574 and fax number 5103396477. The mailing address for Donald Phillip Mckillop is 2820 Adeline St, Berkeley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Donald Phillip Mckillop |
|---|---|
| Address | 2820 Adeline St, Berkeley, California |
| Phone Number | 5108485574 |
| Fax Number | 5103396477 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1194815407 |
|---|---|
| Provider Enumeration Date | 2006-10-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2820 Adeline St |
|---|---|
| City | Berkeley |
| State | California (CA) |
| Post Code | 947032264 |
| Phone Number | 5108485574 |
| Fax Number | 5103396477 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 3041 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PSY3041 | CA | LICENSED PSYCHOLOGIST |
Post Comment/ Review Below
What is the unique identifier code issued to Donald Phillip Mckillop by the Centers for Medicare & Medicaid Services (CMS)?
The Donald Phillip Mckillop has been assigned the NPI (National Provider Identifier) 1194815407. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Donald Phillip Mckillop is physically located?
The Donald Phillip Mckillop is situated at the following address: 2820 Adeline St, Berkeley, CA 947032264.
What is Donald Phillip Mckillop's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Donald Phillip Mckillop is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1194815407 to Donald Phillip Mckillop?
The Centers for Medicare & Medicaid Services assigned the 1194815407 to Donald Phillip Mckillop on 2006-10-15.
As of what date were the details related to Donald Phillip Mckillop most recently updated or revised?
The information pertaining to Donald Phillip Mckillop, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.