Individual provider Active NPI

Robert H Phillips, PH.D.

  • Clinical Psychologist
  • Hicksville, NY
National Provider Identifier
1073543179
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6069 Issued in NY
Practice address
12 W Cherry St
Hicksville, NY 11801-3802
Phone
(516) 822-3131
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6069 NY Primary

Addresses

Primary practice location

12 W Cherry St
Hicksville, NY 11801-3802

Mailing address

12 W Cherry St
Hicksville, NY 11801-3802
Phone (516) 822-3131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20120206000672 NY Practitioner - Clinical Psychologist 4183881949 Reassigns benefits to 1 organization
Practice locations: Hicksville, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Coping Counselor- Balance Psychology Services P CGroup PAC ID 4688140809, 4 clinicians

Practice addresses (Care Compare)

12 W Cherry St
Hicksville, NY 11801-3802
Phone (516) 822-3131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6069NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Coping Counselor- Balance Psychology Services P C Clinical CurrentSince Feb 9, 2026 Accepting new patients

Locations

12 W Cherry St
Hicksville, NY 11801
Phone (516) 822-3131

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1073543179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 W CHERRY ST",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013802",
            "telephone_number": "516-822-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W CHERRY ST",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013802",
            "telephone_number": "516-822-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ROBERT",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "6069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

Verify at the official NPI Registry.