Active NPI
Phillip Martin Collier, PH D
- Psychologist
- Fresno, CA
National Provider Identifier
1154434777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY13428
- Practice address
- 1734 W Shaw Ave
Fresno, CA 93711 - Phone
- (559) 439-2647
- Fax
- (559) 439-2214
- NPI assigned
- Aug 16, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY13428 | CA | Primary |
Addresses
Primary practice location
1734 W Shaw Ave
Fresno, CA 93711
Mailing address
881 Fedora Ave
Clovis, CA 93612
Phone (559) 292-7550
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 |
|---|---|---|---|
| PSY13428 | CA | MD | Psychologist |
| 13428 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Link Care Foundation | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154434777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "881 FEDORA AVE",
"city": "CLOVIS",
"state": "CA",
"postal_code": "93612",
"telephone_number": "559-292-7550",
"fax_number": "559-439-2214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1734 W SHAW AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "93711",
"telephone_number": "559-439-2647",
"fax_number": "559-439-2214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLIER",
"first_name": "PHILLIP",
"middle_name": "MARTIN",
"name_prefix": "Mr.",
"credential": "PH D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY13428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fresno, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.