Individual provider Active NPI

Daniel K. Phillip, PSY.D.

  • Clinical Psychologist
  • Evanston, IL
National Provider Identifier
1508257684
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071009817 Issued in IL
Practice address
2223 Washington St Unit 102
Evanston, IL 60202-1557
Phone
(312) 324-4419
NPI assigned
Feb 11, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071009817 IL Primary

Addresses

Primary practice location

2223 Washington St Unit 102
Evanston, IL 60202-1557

Mailing address

2223 Washington St Unit 102
Evanston, IL 60202-1557

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 10, 2019 through Jan 10, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
071009817ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Together & Through LLC Clinical CurrentSince Dec 26, 2021 Accepting new patients

Locations

825 Chicago Ave
Ste 2A
Evanston, IL 60202
Phone (312) 324-4419

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": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1508257684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 WASHINGTON ST UNIT 102",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 WASHINGTON ST UNIT 102",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021557",
            "telephone_number": "312-324-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIP",
        "first_name": "DANIEL",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-11",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.