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DR. FORMAN PHILLIPS PH.D.
NPI 1417007899
Psychologist - Clinical Child & Adolescent in Wynantskill, NY

Active since January 10, 2007
9 W SAND LAKE RD, WYNANTSKILL, NY 12198(518) 283-1974(518) 283-2018 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Forman Phillips Ph.d. NPPES

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

DR. FORMAN PHILLIPS PH.D. (NPI 1417007899) is an individual clinical child & adolescent provider in Wynantskill, New York, licensed in New York (4809) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1417007899
Entity TypeIndividualMale
Primary Taxonomy103TC2200X
Provider Legal NameDR. FORMAN PHILLIPSCredential: PH.D.
Location Address9 W SAND LAKE RDWynantskill, NY 12198-7954
Mailing Address9 W Sand Lake RdWynantskill, NY 12198-7954 · (518) 283-1974 · Fax (518) 283-2018
Phone(518) 283-1974
Fax(518) 283-2018
Sole ProprietorYes
Enumeration DateJanuary 10, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417007899 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 NY · 4809
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.
9 W SAND LAKE RD, Wynantskill, NY 12198
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Other Identifiers 2

Medicare ID-Type Unspecified51475BNY
Medicaid01653194NY

Other Providers at the Same Location NPPES 6

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

MR. PATRICK PAUL BERGMANN MS,CCC
Audiologist
9 W SAND LAKE RD
WYNANTSKILL, NY 12198
Rensselaer County (518) 690-2060
HEARWELL LLC
Clinic/Center (Hearing and Speech)
9 W SAND LAKE RD
WYNANTSKILL, NY 12198
Rensselaer County (518) 326-1742
WYNANTSKILL FAMILY PRACTICE P.C.
Family Medicine
9 W SAND LAKE RD
WYNANTSKILL, NY 12198
Rensselaer County (518) 283-1974
RITCHIE J PARROTTA D.O.
Family Medicine
9 W SAND LAKE RD
WYNANTSKILL, NY 12198
Rensselaer County (518) 283-1974
DR. SCOTT MICHAEL PARROTTA DO
Family Medicine
9 W SAND LAKE RD
WYNANTSKILL, NY 12198
Rensselaer County (518) 283-1974
JEAN TALBOT RPAC
Physician Assistant
9 W SAND LAKE RD
WYNANTSKILL, NY 12198
Rensselaer County (518) 283-1974

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 Forman Phillips's NPI number?

The NPI number for Forman Phillips is 1417007899. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Forman Phillips located?

Forman Phillips practices at 9 W Sand Lake Rd, Wynantskill, NY 12198. The listed phone number is (518) 283-1974.

What is Forman 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 Forman Phillips was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.