Carlos William Phillip, ED.D.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

540 55TH Street NE
Washington DC, DC 20019

Phone

(202) 939-2030

Fax

(240) 485-0995

NPI assigned

Oct 9, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381276800000",
    "number": "1023445939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9312 OGDEN PL",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062774",
            "telephone_number": "240-938-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 55TH STREET NE",
            "city": "WASHINGTON DC",
            "state": "DC",
            "postal_code": "20019",
            "telephone_number": "202-939-2030",
            "fax_number": "240-485-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIP",
        "first_name": "CARLOS",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-09",
        "last_updated": "2013-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "DC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Goodness Nweke
• Uzo Obi
• Obiora Matthias Ogbuawa, MD
• Dennis I Olaniyi
• Kathleen Oresky
• Christian Pree
• Abdallah Khaldoun Said Qtaishat, M.D.
• Iliana Revelo, HHA
• Shervone S Rhones
• Carolyn M Rivers, PHARMD

• School Psychologist in Washington DC, DC
• Providers in Washington DC, DC by specialty
• School Psychologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.