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DR. DOMINIQUE PHILLIPS PHD
NPI 1083545792
Psychologist - Clinical Child & Adolescent in Philadelphia, PA

Active since May 29, 2026
4601 MARKET ST, PHILADELPHIA, PA 19139(856) 209-5398 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Dominique Phillips Phd NPPES

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

DR. DOMINIQUE PHILLIPS PHD (NPI 1083545792) is an individual clinical child & adolescent provider in Philadelphia, Pennsylvania and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1083545792
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. DOMINIQUE PHILLIPSCredential: PHD
Location Address4601 MARKET STPhiladelphia, PA 19139-4636
Mailing Address2023 Walnut St Apt 1fPhiladelphia, PA 19103-4465 · (856) 209-5398
Phone(856) 209-5398
Sole ProprietorYes
Enumeration DateMay 29, 2026
NPPES CertifiedMay 29, 2026
✔ NPI 1083545792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
4601 MARKET ST, Philadelphia, PA 19139
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Other Providers at the Same Location NPPES 20

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

ALIXANDRA BOUCHER
Counselor (Professional)
4601 MARKET ST
PHILADELPHIA, PA 19139
Philadelphia County (215) 590-7555
TERESA V GUERRA LBS
Behavior Analyst
4601 MARKET ST
PHILADELPHIA, PA 19139
Philadelphia County (215) 848-3400
DANIELLE LARGE RN
Registered Nurse
4601 MARKET ST
PHILADELPHIA, PA 19139
Philadelphia County (215) 287-2114
MICHAEL BERNARD ROESCH BCBA,LBS
Behavior Analyst
4601 MARKET ST
PHILADELPHIA, PA 19139
Philadelphia County (215) 878-3400
ELISHEVA ROSE KHALFIN ELBAZ MS, BSN, RN
Registered Nurse
4601 MARKET ST
PHILADELPHIA, PA 19139
Philadelphia County (267) 608-8788
ANNAMARIE LEDDY BSN, RN
Registered Nurse
4601 MARKET ST
PHILADELPHIA, PA 19139
Philadelphia County (267) 665-4508
RENAE MARIA GROSS
Counselor (Professional)
4601 MARKET ST
PHILADELPHIA, PA 19139
Philadelphia County (267) 765-2381
NATHANIEL MALLARD
Social Worker
4601 MARKET ST
PHILADELPHIA, PA 19139
Philadelphia County (215) 220-2127

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 Dominique Phillips's NPI number?

The NPI number for Dominique Phillips is 1083545792. It was assigned to this individual provider in the NPPES registry on May 29, 2026.

Where is Dominique Phillips located?

Dominique Phillips practices at 4601 Market St, Philadelphia, PA 19139. The listed phone number is (856) 209-5398.

What is Dominique Phillips's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Dominique Phillips was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.