Melissa Ivey Phillips, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

3819 Issued in NC

Practice address

1103 Corporate Dr Ste B
Greenville, NC 27858-5968

Phone

(252) 320-9398

NPI assigned

Jul 27, 2009

Sex

Female

Sole proprietor

Yes

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 NC

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

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 and National Provider Directory roles.

• Celeste M Good

  • Psychiatry Physician
  • Greenville, NC
  • NPI 1093899783
  NPD (past)
• Dr. Mark W. Johnson, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • New Bern, NC
  • NPI 1568531861
  NPD (past)

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1437389343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 CORPORATE DR STE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585968",
            "telephone_number": "252-320-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 CORPORATE DR STE B",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585968",
            "telephone_number": "252-320-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "MELISSA",
        "middle_name": "IVEY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-27",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OH",
            "license": "6561",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NC",
            "license": "3819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keeshunda Andrieka Phillips, LCMHCA
• Kelly G Phillips, LMFT
• Kimberly Dawn Phillips, OTR/L
• Marlena Leann Phillips, CPNP, AC/PC
• Marquelvous Phillips
• Rhiannon Phillips, SLP
• Stephanie C Phillips
• Stephen L Phillips Jr., MD
• Kelly W Philpot, MD
• Kirk Philpot, MD

• Clinical Neuropsychologist in Greenville, NC
• Providers in Greenville, NC by specialty
• Clinical Neuropsychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.