Active NPI
Janet Lynne Phillips, PSYD
- Clinical Psychologist
- Rocklin, CA
National Provider Identifier
1508001744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 22226
- Practice address
- 6000 Fairway Dr
Suite 5
Rocklin, CA 95677-4244 - Phone
- (916) 960-6045
- Fax
- (916) 315-8501
- NPI assigned
- Dec 2, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 22226 | CA | Primary |
Addresses
Primary practice location
6000 Fairway Dr
Suite 5
Rocklin, CA 95677-4244
Mailing address
PO Box 943
Rocklin, CA 95677-0943
Phone (916) 960-6045
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 22226 | CA | MD | Clinical Psychologist |
| 22226 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarah Spears, Psychological Services, Inc. | Past | Accepting new patients |
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.
-
- Psychologist
- Rocklin, CA
- NPI 1205294105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350604800000",
"number": "1508001744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 943",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "956770943",
"telephone_number": "916-960-6045",
"fax_number": "916-315-8501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 FAIRWAY DR",
"address_2": "SUITE 5",
"city": "ROCKLIN",
"state": "CA",
"postal_code": "956774244",
"telephone_number": "916-960-6045",
"fax_number": "916-315-8501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "JANET",
"middle_name": "LYNNE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-02",
"last_updated": "2012-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 22226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rocklin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.