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DR. KELLEY L PHILLIPS KELLEY PHILLIPS MD NPI 1124062443


NPI Information

NPI: 1124062443
Provider Name: DR. KELLEY L PHILLIPS, KELLEY PHILLIPS MD
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Individual

Specialization: Psychiatry

PECOS Registration: Yes

Address:
875 W MORENO AVE
COLORADO SPRINGS, CO
ZIP 80905
Phone: (719) 572-6100
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DR. Kelley L Phillips, KELLEY PHILLIPS MD is a psychiatry psychiatry neurology in Colorado Springs, CO with 50 years of experience. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. DR. Kelley L Phillips, KELLEY PHILLIPS MD NPI is 1124062443. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

875 W MORENO AVE
COLORADO SPRINGS, CO
ZIP 80905-731
Phone: (719) 572-6100

The NPI 1124062443 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/16/2006 and was last updated on 2/26/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0800XPsychiatry & NeurologyPsychiatryMD13012DISTRICT OF COLUMBIANo
22084P0800XPsychiatry & NeurologyPsychiatryDR.0061894COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
160484701OTHERMARYLANDBCBS MD
2P00479398OTHERNORTH DAKOTARR MEDICARE ND
3010206758MEDICAIDVIRGINIA
4G396-0044OTHERDISTRICT OF COLUMBIABCBS DC
5P00356148OTHERIOWARR MEDICARE IA
6185693OTHERVIRGINIABCBS VA
7P00384921OTHERDISTRICT OF COLUMBIARR MEDICARE X
80488015MEDICAIDIOWA
913831MEDICAIDNORTH DAKOTA
10P00384921OTHERDELAWARERR MEDICARE S
11410407200MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.