NICHOLAS PHILLIPS MD NPI 1720406291

NPI Information

  • NPI: 1720406291
  • Provider Name: NICHOLAS PHILLIPS, MD
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 302 5TH ST STE 3
    CLARKSTON, WA
    ZIP 99403
  • Phone: (509) 769-2211

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NPI Details

Nicholas Phillips, MD is a child and adolescent psychiatry psychiatry neurology in Clarkston, WA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Nicholas Phillips, MD NPI is 1720406291. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

302 5TH ST STE 3
CLARKSTON, WA
ZIP 99403-803
Phone: (509) 769-2211
Fax: (509) 769-2210

The NPI 1720406291 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 4/2/2014 and was last updated on 7/11/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatry10344697-1205UTAHNo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
32084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry10344697-1205UTAHYes

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: 3/30/2025

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