Active NPI
Barbara Elyse Phillips, PH.D
- Mental Health Counselor
- Concord, CA
National Provider Identifier
1629107974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PSY7054
- Practice address
- 2001 Salvio St
Suite 1
Concord, CA 94520-2495 - Phone
- (925) 685-7955
- Fax
- (925) 284-1865
- NPI assigned
- Mar 5, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PSY7054 | CA | Primary |
Addresses
Primary practice location
2001 Salvio St
Suite 1
Concord, CA 94520-2495
Mailing address
2001 Salvio St
Suite 1
Concord, CA 94520-2495
Phone (925) 685-7955
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240624004568 | CA | Practitioner - Clinical Psychologist | 9830632421 | Practice locations: Walnut Creek, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7054 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| PSY7054 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629107974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 SALVIO ST",
"address_2": "SUITE 1",
"city": "CONCORD",
"state": "CA",
"postal_code": "945202495",
"telephone_number": "925-685-7955",
"fax_number": "925-284-1865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 SALVIO ST",
"address_2": "SUITE 1",
"city": "CONCORD",
"state": "CA",
"postal_code": "945202495",
"telephone_number": "925-685-7955",
"fax_number": "925-284-1865"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "BARBARA",
"middle_name": "ELYSE",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "PSY7054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.