Philip M. Alex, PH.D.
Individual provider Active NPI Psychologist · Mill Creek, WA
NPI 1902961345 · NPPES record last updated Dec 9, 2022
Key facts
- NPI
- 1902961345
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PSY12556 (CA)
- Practice address
- 14502 21St CT SE
Mill Creek, WA 98012-5785 - Phone
- (415) 457-6234
- NPI assigned
- Dec 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2015 through Jul 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY12556 | CA | MD | Psychologist |
| 12556 | CA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY12556 | CA | Yes |
Addresses
Primary practice location
14502 21St CT SE
Mill Creek, WA 98012-5785
Mailing address
15833 Mill Creek Blvd., #14187
Mill Creek, WA 98082
Phone (415) 457-6234
Other providers in Mill Creek, WA
- Yaein Ahn
- Melinda Sue Ainsworth
- Jessica Catherine Akers
- Albertsons LLC
- Alchemy Therapy & Counseling
- Alexander Enterprises, LLC
- Michelle R Almanza
- Adrianne Michelle Altman
- Amazing Life Chiropractic & Wellness PLLC
- Juditheve Lamosao Amby
All providers in Mill Creek, WA · Psychologist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.