Geralyn Marie Phillips, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 17167 Issued in CA

Practice address

8439 White Oak Ave
#104
Rancho Cucamonga, CA 91730-3860

Phone

(909) 466-7624

NPI assigned

Feb 10, 2006

Last updated

Jul 13, 2026By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Avent Family Medical Corporation

  • Primary Care Clinic/Center
  • Rancho Cucamonga, CA
  • NPI 1922210004
  NPD (past)

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1265405195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8439 WHITE OAK AVE",
            "address_2": "#104",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303860",
            "telephone_number": "909-466-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8439 WHITE OAK AVE",
            "address_2": "#104",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303860",
            "telephone_number": "909-466-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "GERALYN",
        "middle_name": "MARIE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 17167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle C Phan, O.D.
• Pharmacy at the Courts LLC (Green Valley Pharmacy)
• Norma Phelps
• Adeola Philip-Aimufia
• Sarah Kasham Philips
• Jasmine M Phillips
• Michael Phillips, CP
• Phoenix Physical Therapy and Wellness Inc
• Berlinda Phommalayhane
• Boonma Phommalayvane

• Clinical Psychologist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.