JAY ROBERT PHILLIPPI PH.D.
NPI 1053692020
Psychologist in Fargo, ND

Active since September 06, 2011
112 UNIVERSITY DR N STE 300, FARGO, ND 58102(701) 866-3641(701) 660-1071 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2025, Aug 16, 2018 (2 updates tracked since 2018).

About Jay Robert Phillippi Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAY ROBERT PHILLIPPI PH.D. (NPI 1053692020) is an individual psychologist in Fargo, North Dakota and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1053692020
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameJAY ROBERT PHILLIPPICredential: PH.D.
Location Address112 UNIVERSITY DR N STE 300Fargo, ND 58102
Mailing Address112 University Dr N Ste 140Fargo, ND 58102-4661 · (701) 866-3641
Fax(701) 660-1071
Sole ProprietorYes
Enumeration DateSeptember 6, 2011
Last NPPES UpdateMarch 10, 20252 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
NPI 1053692020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
112 UNIVERSITY DR N STE 300, Fargo, ND 58102

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist
112 UNIVERSITY DR N STE 300
FARGO, ND 58102
Counselor
112 UNIVERSITY DR N STE 300
FARGO, ND 58102
Counselor
112 UNIVERSITY DR N STE 300
FARGO, ND 58102
Behavior Analyst
112 UNIVERSITY DR N STE 300
FARGO, ND 58102
Psychologist
112 UNIVERSITY DR N STE 300
FARGO, ND 58102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jay Phillippi's NPI number?

The NPI number for Jay Phillippi is 1053692020. It was assigned to this individual provider in the NPPES registry on September 6, 2011.

Where is Jay Phillippi located?

Jay Phillippi practices at 112 University Dr N Ste 300, Fargo, ND 58102. The listed phone number is (701) 866-3641.

What is Jay Phillippi's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Jay Phillippi was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.