NPIMap

Organization Active NPI

Dr. Susan P. Phillips, PH.D. LLC

  • Counseling Psychologist
  • Wesley Chapel, FL
National Provider Identifier
1992114276
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PY7291 Issued in FL
Legal business name
DR. SUSAN P. PHILLIPS, PH.D. LLC
Practice address
2824 Windguard Cir
Suite 102
Wesley Chapel, FL 33544-7369
Phone
(813) 997-4538
Fax
(813) 991-7584
NPI assigned
Aug 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Authorized official

Name
Dr. Susan P Phillips, PH.D.NPI 1215146246
Title
Psychologist
Phone
(813) 997-4538

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X PY7291 FL Primary

Addresses

Primary practice location

2824 Windguard Cir
Suite 102
Wesley Chapel, FL 33544-7369

Mailing address

2824 Windguard Cir
Suite 102
Wesley Chapel, FL 33544-7369
Phone (813) 997-4538

Other identifiers 1

IdentifierTypeStateIssuer
HD093AOtherFLMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

2824 Windguard Cir
Ste 102
Wesley Chapel, FL 33544
Phone (813) 997-4538

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1992114276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2824 WINDGUARD CIR",
            "address_2": "SUITE 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335447369",
            "telephone_number": "813-997-4538",
            "fax_number": "813-991-7584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2824 WINDGUARD CIR",
            "address_2": "SUITE 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335447369",
            "telephone_number": "813-997-4538",
            "fax_number": "813-991-7584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SUSAN P. PHILLIPS, PH.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-12",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "813-997-4538",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY7291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "HD093A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.