Active NPI
Daniel J Phillips, PH.D.
- Counselor
- Flagstaff, AZ
National Provider Identifier
1972810604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 408 N Kendrick St Ste 4
Flagstaff, AZ 86001-1582 - Phone
- (928) 774-6364
- NPI assigned
- Sep 1, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Counseling Psychologist | 103TC1900X |
Addresses
Primary practice location
408 N Kendrick St Ste 4
Flagstaff, AZ 86001-1582
Mailing address
606 N Beaver St
Flagstaff, AZ 86001-3012
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beyond the Pines | Counseling | Current | Accepting new patients |
| Flagstaff Child & Family Counseling Center PLLC | Psychologist | Current | Accepting new patients |
Locations
408 N Kendrick St
Ste 4
Flagstaff, AZ 86001
Phone (928) 504-4700
606 N Beaver St
Flagstaff, AZ 86001
Phone (928) 255-5490
Organizations & group practices 2
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.
-
- Counseling Psychologist
- Flagstaff, AZ
- NPI 1194312603
-
- Psychologist
- Flagstaff, AZ
- NPI 1033311527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612742400000",
"number": "1972810604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 N BEAVER ST",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860013012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 N KENDRICK ST STE 4",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860011582",
"telephone_number": "928-774-6364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "DANIEL",
"middle_name": "J",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-01",
"last_updated": "2021-02-08",
"certification_date": "2021-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.