Kevin Phillips, SUDRC
NPI 1104532340 · Addiction (Substance Use Disorder) Counselor · Fairfield, CA
Kevin Phillips, SUDRC is a Addiction (Substance Use Disorder) Counselor provider in Fairfield, CA (NPI 1104532340).
Provider details
- NPI number
- 1104532340
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- SUDRC
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1525 Union AveFairfield, CA 94533-5049Phone: (916) 759-3023
Registry dates
- Enumerated
- 2023-01-30
- Last updated
- 2023-01-30
- Certified
- 2023-01-30
Frequently asked questions
- What is Kevin Phillips's NPI number?
- Kevin Phillips's National Provider Identifier (NPI) is 1104532340, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Phillips's specialty?
- Kevin Phillips is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Kevin Phillips located?
- Kevin Phillips's practice location on file with NPPES is 1225 Travis Blvd Ste H, Fairfield, CA 94533-4839.
- What is Kevin Phillips's phone number?
- The practice phone number listed in the NPPES registry for Kevin Phillips is (707) 399-9190.
- Is Kevin Phillips's NPI active?
- Yes — Kevin Phillips's NPI (1104532340) is active in the NPPES registry as of the last update on 2023-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.