Phillip D Lett, PH.D.

Primary specialty

Rehabilitation PsychologistTaxonomy code 103TR0400X

License

1627 Issued in AZ

Practice address

4222 E Camelback Rd
H230
Phoenix, AZ 85018-2732

Phone

(602) 852-0911

Fax

(602) 852-0632

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Professional Psychology Associates PC

  • Rehabilitation Psychologist
  • Phoenix, AZ
  • NPI 1821003419
  NPD (past) Authorized official
• Professional Psychology Associates, PC

  dba Center for Lifestyle Change

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Phoenix, AZ
  • NPI 1801016878
  NPD (past) Authorized official

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1710935515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 E CAMELBACK RD",
            "address_2": "H230",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182745",
            "telephone_number": "602-852-0911",
            "fax_number": "602-852-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 E CAMELBACK RD",
            "address_2": "H230",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182732",
            "telephone_number": "602-852-0911",
            "fax_number": "602-852-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETT",
        "first_name": "PHILLIP",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "AZ",
            "license": "1627",
            "primary": true
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "1627",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "AZ",
            "license": "1627",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "1627",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "1627",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amaris Lestinsky, MD
• Sara M Lestourgeon, MD
• Benjamin Wallace Lesueur, MD
• Marian J Letellier, NP
• Kim E Letendre, CRC, LAC
• Lett, Rohde, & Walling, PC (ASAP Adolescent Substance Abuse Program)
• Katrina Elizabeth Lettang, MD
• Jennifer Pratt Letter, L.M.T.
• Abel Lettiere, M.S., CCC-SLP
• Christina K Lettieri, MD

• Rehabilitation Psychologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Rehabilitation Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.