Active NPI
Steven Robert Phillips, DO
- Psychiatry Physician
- Charlottesville, VA
National Provider Identifier
1679990568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0102205265
- Practice address
- 325 Four Leaf LN Ste 12
Charlottesville, VA 22903-9203 - Phone
- (434) 466-1588
- Fax
- (434) 823-1174
- NPI assigned
- Mar 28, 2014
- Last updated
- Oct 10, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0102205265 | VA | Primary |
Addresses
Primary practice location
325 Four Leaf LN Ste 12
Charlottesville, VA 22903-9203
Mailing address
220 Appalachian LN
Zion Crossroads, VA 22942-7021
Phone (804) 815-0590
Other practice location 1
800 Preston Ave
Charlottesville, VA 22903-4420
Phone (434) 972-1800
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102205265 | VA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570665600000",
"number": "1679990568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 APPALACHIAN LN",
"city": "ZION CROSSROADS",
"state": "VA",
"postal_code": "229427021",
"telephone_number": "804-815-0590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 FOUR LEAF LN STE 12",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229039203",
"telephone_number": "434-466-1588",
"fax_number": "434-823-1174"
}
],
"practiceLocations": [
{
"address_1": "800 Preston Ave",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229034420",
"country_code": "US",
"telephone_number": "434-972-1800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PHILLIPS",
"first_name": "STEVEN",
"middle_name": "ROBERT",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-28",
"last_updated": "2019-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0102205265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
- Frank H. Phillips
- Jackson B Phillips, CMHC
- Katharine Phillips
- Lauren Phillips, FNP-C
- Lawrence Hamilton Phillips II, MD
- Samantha J Philman, M.D., M.P.H.
- Kristin L. Phipps, AGACNP-BC
- Ahkar Phyo
- Physical Medicine Associates, LTD (National Spine and Pain Centers)
- Physical Therapy at Acac (Physical Therapy at ACAC Hand Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.