Erica Jacobsen Phillips, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY0943 Issued in NV

Practice address

10731 Morning Frost St
Las Vegas, NV 89179-1301

Phone

(360) 791-8823

NPI assigned

Sep 1, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• JP Psychological Services LLC

  • Clinical Psychologist
  • Las Vegas, NV
  • NPI 1841883311
  Medicare reassignment NPD Authorized official
• The Psychology Institute of Las Vegas PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Las Vegas, NV
  • NPI 1285269100
  Medicare reassignment NPD
• Oasis Counseling

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1629459383
  NPD (past)

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1154638971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10731 MORNING FROST ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891791301",
            "telephone_number": "360-791-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10731 MORNING FROST ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891791301",
            "telephone_number": "360-791-8823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "545 Laurel Street",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92101",
            "country_code": "US",
            "telephone_number": "619-275-0822 x324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1820 E Warm Springs Rd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891194680",
            "country_code": "US",
            "telephone_number": "702-546-9600",
            "fax_number": "702-829-8065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ERICA",
        "middle_name": "JACOBSEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "PY0943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darrylin Phillips
• Debbie Phillips
• Debra Phillips
• Delta Lynn Phillips, MA, TRAINING SPECIAL
• Deonte Phillips
• Erin Phillips
• Jacqueline Phillips
• Jacqueline Rene Phillips
• Jamie Russell Phillips
• Jessica Elaine Phillips, CNA

• Clinical Psychologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.