Chavez Phelps, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

20043204A Issued in IN

Practice address

500 8TH Ave
Terre Haute, IN 47804-4072

Phone

(812) 231-8376

Fax

(812) 231-8208

NPI assigned

Mar 19, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Hamilton Center Inc.

  • Methadone Clinic
  • Vincennes, IN
  • NPI 1265053854
  NPD (past)
• Hamilton Center, Inc.

  • Community/Behavioral Health Agency
  • Terre Haute, IN
  • NPI 1649007774
  NPD (past)

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1972920783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 POYDRAS ST",
            "address_2": "SUITE 1950",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701303245",
            "telephone_number": "504-322-3837",
            "fax_number": "504-322-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 8TH AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044072",
            "telephone_number": "812-231-8376",
            "fax_number": "812-231-8208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Poydras St",
            "address_2": "Suite 1950",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701303245",
            "country_code": "US",
            "telephone_number": "504-322-3837",
            "fax_number": "504-322-3847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "CHAVEZ",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-19",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "LA",
            "license": "1257",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20043204A",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "IN",
            "license": "20043204A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Perry, RBT
• Abigail Peters
• Gavin Kyle Peters
• Alyssa Christine Petrowski, MA, BCBA
• Karen Dara Pharo, COTA
• Philco Group LLC
• Joanna Phillips
• Karen Elaine Phillips, FNP-C
• Susan K Phillips, FNP
• Lylia Piatt, LCSW , MSW

• Clinical Child & Adolescent Psychologist in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Clinical Child & Adolescent Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.