Grayson D. Phillips Sr., PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

21754 Issued in TX

Practice address

7502 Greenville Ave.
Suite 500
Dallas, TX 75231-3812

Phone

(214) 361-6019

Fax

(214) 890-4019

NPI assigned

Jul 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Colleyville Physical Therapy and Sports Rehab, PC

  • Physical Therapist
  • Colleyville, TX
  • NPI 1134158371
  NPD (past)
• Decatur Hospital Authority

  dba Decatur Medical Lodge

  • Skilled Nursing Facility
  • Decatur, TX
  • NPI 1649722943
  NPD (past)
• JTD Therapy Services LLC

  • Physical Therapist
  • Trophy Club, TX
  • NPI 1386674109
  NPD (past)
• Riata Therapy Specialists LLC

  dba RTS Physical Therapy

  • Physical Therapy Clinic/Center
  • Keller, TX
  • NPI 1023027471
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013938695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 CLEAR SPRINGS DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751508025",
            "telephone_number": "972-979-4563",
            "fax_number": "214-890-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7502 GREENVILLE AVE.",
            "address_2": "SUITE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752313812",
            "telephone_number": "214-361-6019",
            "fax_number": "214-890-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "GRAYSON",
        "middle_name": "D.",
        "name_suffix": "Sr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "21754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debbie Phillips, RN
• Diane Schlup Phillips, M.D.
• Dorothy Jennie Phillips, LCSW
• Francese Maye Anding Phillips, AG-ACNP-BC
• Garry Carl Phillips, D.D.S.
• Hannah Phillips, NP
• Haylee Phillips, LCSW
• Hunter Garrett Phillips, CRNA
• James Phillips, PT, DPT
• Jan Elizabeth Phillips, MD

• Clinical Psychologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.