FAITH L. PHILLIPS, PH.D., PLLC
NPI 1104079474
Psychologist - Clinical Child & Adolescent in Broken Bow, OK

Active since October 29, 2008
411 S. PARK DRIVE, BROKEN BOW, OK 74728(580) 584-5550(866) 584-1223 Get Directions Write a Review

NPPES record last updated: June 1, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Faith L. Phillips, Ph.d., Pllc NPPES

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

FAITH L. PHILLIPS, PH.D., PLLC (NPI 1104079474) is a healthcare organization registered as a clinical child & adolescent in Broken Bow, Oklahoma and active in the NPI registry since October 2008. The organization lists Faith L Phillips, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1104079474
Entity TypeOrganization
Primary Taxonomy103TC2200X
Legal Business NameFAITH L. PHILLIPS, PH.D., PLLC
Location Address411 S. PARK DRIVEBroken Bow, OK 74728-3331
Mailing Address411 S. Park DriveBroken Bow, OK 74728-3331 · (580) 584-5550 · Fax (866) 584-1223
Fax(866) 584-1223
Organization SubpartNo
Authorized OfficialFaith L PhillipsPsychologist · (580) 584-5550
Enumeration DateOctober 29, 2008
Last NPPES UpdateJune 1, 2012
NPI 1104079474 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
License Licensed in OK · 513
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.
411 S. PARK DRIVE, Broken Bow, OK 74728

Other Identifiers 1

Medicaid200216630AOK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Psychologist (Clinical Child & Adolescent)
411 S. PARK DRIVE
BROKEN BOW, OK 74728

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 Faith L. Phillips, Ph.D., PLLC's NPI number?

The NPI number for Faith L. Phillips, Ph.D., PLLC is 1104079474. It was assigned to this organization in the NPPES registry on October 29, 2008.

Where is Faith L. Phillips, Ph.D., PLLC located?

Faith L. Phillips, Ph.D., PLLC is located at 411 S. Park Drive, Broken Bow, OK 74728. The listed phone number is (580) 584-5550.

What is Faith L. Phillips, Ph.D., PLLC's specialty?

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

What insurance does Faith L. Phillips, Ph.D., PLLC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Faith L. Phillips, Ph.D., PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Faith L. Phillips, Ph.D., PLLC was last updated on June 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.