Andrea Steliga-Phillips, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071008219 Issued in IL

Practice address

8 S Main St Ste 203
Canton, IL 61520-2680

Phone

(309) 255-6839

NPI assigned

Jan 5, 2014

Sex

Female

Sole proprietor

No

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

Enrolled in IL

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

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Jeanine Standard Metamorphosis Inc

  • Clinical Psychologist
  • Canton, IL
  • NPI 1427401504
  NPD (past)

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

{
    "created_epoch": "1388880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388880000000",
    "number": "1215358528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 S MAIN ST STE 203",
            "city": "CANTON",
            "state": "IL",
            "postal_code": "615202680",
            "telephone_number": "309-255-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 S MAIN ST STE 203",
            "city": "CANTON",
            "state": "IL",
            "postal_code": "615202680",
            "telephone_number": "309-255-6839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELIGA-PHILLIPS",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-05",
        "last_updated": "2014-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071008219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmie Marquette Smith, MD
• Spoon River Counseling & Wellness PLLC
• Spoon River Family Practice Center, Inc
• Spoon River Hearing Services Inc
• Stan Buczko RPH (Medicine Shoppe)
• Amanda L Stephenson, DPT
• Fordyce Edward Stivers, MD
• Cassie J Stone, CFNP
• Sunset Rehabilitation & Health Care Center LLC
• Tazwood Mental Health Center, Inc. (Tazwood Center for Wellness)

• Psychologist in Canton, IL
• Providers in Canton, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.