NICHOLAS PHILLIPS MD
NPI 1720406291
Psychiatry & Neurology - Child & Adolescent Psychiatry in Clarkston, WA

Q: What is Nicholas Phillips's NPI number?

The NPI number for Nicholas Phillips is 1720406291. It was assigned to this individual provider in the NPPES registry on April 2, 2014.

Q: What is Nicholas Phillips's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicholas Phillips was last updated on July 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 02, 2014PECOS Enrolled

302 5TH ST STE 3, CLARKSTON, WA 99403(509) 769-2211(509) 769-2210 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 11, 2022, Apr 13, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Nicholas Phillips Md NPPES

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

NICHOLAS PHILLIPS MD (NPI 1720406291) is an individual child & adolescent psychiatry provider in Clarkston, Washington, licensed in Utah (10344697-1205) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1720406291

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameNICHOLAS PHILLIPSCredential: MD

Location Address302 5TH ST STE 3Clarkston, WA 99403-1803

Mailing Address1922 Powers DrLewiston, ID 83501-6043 · (208) 305-0467

Phone(509) 769-2211

Fax(509) 769-2210

Sole ProprietorYes

Enumeration DateApril 2, 2014

Last NPPES UpdateJuly 11, 20224 updates tracked since enumeration

NPPES CertifiedJuly 11, 2022

✔ NPI 1720406291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in UT · 10344697-1205

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.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 10344697-1205 (UT)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

302 5TH ST STE 3, Clarkston, WA 99403

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Secondary Practice Locations 2

Location 1580 W 8th St, Tower 2, 6th Floor, Suite 6005Jacksonville, FL 32209 · Phone (904) 244-3990

Location 250 N Medical DrSalt Lake City, UT 84132-0001 · Phone (801) 581-2121

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Phillips Md 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.

Other Providers at the Same Location NPPES

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

ELINA CHERNYAK DO

Family Medicine (Addiction Medicine)

302 5TH ST STE 3
CLARKSTON, WA 99403

Asotin County (509) 769-2211

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 Nicholas Phillips's NPI number?

The NPI number for Nicholas Phillips is 1720406291. It was assigned to this individual provider in the NPPES registry on April 2, 2014.

Where is Nicholas Phillips located?

Nicholas Phillips practices at 302 5th St Ste 3, Clarkston, WA 99403. The listed phone number is (509) 769-2211.

What is Nicholas Phillips's specialty?

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

Is Nicholas Phillips enrolled in Medicare?

Yes. Nicholas Phillips is registered in the Medicare PECOS enrollment system.

What insurance does Nicholas Phillips accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Nicholas Phillips 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 Nicholas Phillips was last updated on July 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.