Phillips Medstone a Psychological Corporation

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

PHILLIPS MEDSTONE A PSYCHOLOGICAL CORPORATION

Practice address

5333 Mission Center Rd
Suite 100
San Diego, CA 92108-1302

Phone

(619) 543-0983

Fax

(619) 810-0383

NPI assigned

Sep 18, 2013

Last updated

Apr 28, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Autumn R Phillips, PSY DNPI 1598083909

Title

President

Phone

(619) 543-0983

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Autumn Rose Phillips, PSY.D.

  • Psychologist
  • San Diego, CA
  • NPI 1598083909
  Medicare reassignment Care Compare group NPD Authorized official
• Janet Ricci Elkun, PSY.D.

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1487546032
  Medicare reassignment Care Compare group NPD
• Pooja Amatya

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1649631011
  Medicare reassignment NPD
• Sandy Cullins, PH.D.

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1417672684

  Single Specialty

  Medicare reassignment NPD
• A-Lisa Shay Miles, PH.D.

  • Psychologist
  • Del Mar, CA
  • NPI 1326468471
  Medicare reassignment NPD
• Michelle L Bales, PSY.D.

  • Psychologist
  • San Diego, CA
  • NPI 1427274562
  NPD (past)

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1801222120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 MISSION CENTER RD",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081302",
            "telephone_number": "619-543-0983",
            "fax_number": "619-810-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 MISSION CENTER RD",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081302",
            "telephone_number": "619-543-0983",
            "fax_number": "619-810-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS MEDSTONE A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-18",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "AUTUMN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-543-0983",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa A. Phillip, MD
• Omari Phillip
• Sally Phillip
• Phillips Dental Corporation (Phillips Family Orthodontics)
• Brittany Kathryn Renee Phillips Hunt, LMFT155519
• Abigail Phillips
• Adelle Grace Phillips
• Allysia Phillips
• Alma Esteves Phillips, LCSW
• Arthur Phillips, M.D.

• Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.