Individual provider Active NPI

David Brooks Phillips, LMFT

  • Marriage & Family Therapist
  • Sacramento, CA
National Provider Identifier
1265777247
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
99804 Issued in CA
Practice address
2023 N St Ste 100
Sacramento, CA 95811-4240
Phone
(916) 833-2283
Fax
(916) 833-2283
NPI assigned
Dec 3, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 99804 CA Primary

Addresses

Primary practice location

2023 N St Ste 100
Sacramento, CA 95811-4240

Mailing address

2023 N St Ste 100
Sacramento, CA 95811-4240
Phone (916) 833-2283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20241102000425 CA Practitioner - Marriage and Family Therapist 9638602311 Practice locations: Sacramento, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2023 N St
Suite 100
Sacramento, CA 95811-4240
Phone (916) 833-2283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
99804CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
David Phillips Marriage Family Therapist a Professional Corporation Marriage & Family Therapist Current Accepting new patients

Locations

2023 N St
Sacramento, CA 95811
Phone (916) 833-2283

2023 N St
Ste 100
Sacramento, CA 95811
Phone (916) 542-2464

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265777247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 N ST STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958114240",
            "telephone_number": "916-833-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 N ST STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958114240",
            "telephone_number": "916-833-2283",
            "fax_number": "916-833-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "DAVID",
        "middle_name": "BROOKS",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "99804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.