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STACY-ANN PHILLIP
NPI 1285015263
Psychiatry & Neurology - Child & Adolescent Psychiatry in Bronx, NY

Active since June 15, 2015PECOS Enrolled
234 E 149TH ST # 6B, BRONX, NY 10451(917) 200-8710 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, May 21, 2017 (2 updates tracked since 2017).

About Stacy-ann Phillip NPPES

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

STACY-ANN PHILLIP (NPI 1285015263) is an individual child & adolescent psychiatry provider in Bronx, New York, licensed in New York (295192) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285015263
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameSTACY-ANN PHILLIP
Location Address234 E 149TH ST # 6BBronx, NY 10451-5504
Mailing Address950 49th St Apt 6bBrooklyn, NY 11219-2949
Phone(917) 200-8710
Sole ProprietorNo
Enumeration DateJune 15, 2015
Last NPPES UpdateApril 25, 20232 updates tracked since enumeration
NPPES CertifiedApril 25, 2023
✔ NPI 1285015263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in NY · 295192
Definition
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.
234 E 149TH ST # 6B, Bronx, NY 10451
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy-ann Phillip is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Stacy-ann Phillip's NPI number?

The NPI number for Stacy-ann Phillip is 1285015263. It was assigned to this individual provider in the NPPES registry on June 15, 2015.

Where is Stacy-ann Phillip located?

Stacy-ann Phillip practices at 234 E 149th St # 6B, Bronx, NY 10451. The listed phone number is (917) 200-8710.

What is Stacy-ann Phillip's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Stacy-ann Phillip enrolled in Medicare?

Yes. Stacy-ann Phillip is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stacy-ann Phillip was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.