Active NPI
Ashley A Phillips, PH.D.
- Clinical Psychologist
- Madera, CA
National Provider Identifier
1144621533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 34460
- Practice address
- 9300 Valley Childrens PL
Madera, CA 93636-8761 - Phone
- (559) 353-6735
- NPI assigned
- Sep 4, 2014
- Last updated
- Sep 5, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2957 | OR | |
| Clinical Psychologist | 103TC0700X | 34460 | CA | Primary |
Addresses
Primary practice location
9300 Valley Childrens PL
Madera, CA 93636-8761
Mailing address
9300 Valley Childrens PL
Madera, CA 93636-8761
Phone (559) 353-6735
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500742541 | Medicaid | OR |
Other names 1
- Dr. Ashley A Brimager
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34460 | CA | MD | Optometrist |
Interoperability endpoints
- aphillips78563@valleychildrens-prd.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1144621533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9300 VALLEY CHILDRENS PL",
"city": "MADERA",
"state": "CA",
"postal_code": "936368761",
"telephone_number": "559-353-6735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 VALLEY CHILDRENS PL",
"city": "MADERA",
"state": "CA",
"postal_code": "936368761",
"telephone_number": "559-353-6735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "ASHLEY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-04",
"last_updated": "2023-09-05",
"certification_date": "2023-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "2957",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "34460",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500742541",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "BRIMAGER",
"middle_name": "A",
"prefix": "DR.",
"credential": "PH.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.