DR. PHILLIP ARTHUR FOSTER PH.D. - NPI 1861538779 - Psychologist in Bloomington, IL

Q: What is Phillip Foster's NPI number?

The NPI number for Phillip Foster is 1861538779. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Q: What is Phillip Foster's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Phillip Foster enrolled in Medicare?

No. Phillip Foster has opted out of Medicare through August 28, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Phillip Foster was last updated on November 29, 2011. 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.

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About Dr. Phillip Arthur Foster Ph.d. NPPES

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

DR. PHILLIP ARTHUR FOSTER PH.D. (NPI 1861538779) is an individual clinical provider in Bloomington, Illinois, licensed in Illinois (071007538) and active in the NPI registry since January 2007. He has opted out of Medicare through August 28, 2026 and is a graduate of Other (2002).

NPPES Registry Identity

NPI1861538779

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. PHILLIP ARTHUR FOSTERCredential: PH.D.

Location Address808 S ELDORADO RD STE 102Bloomington, IL 61704-6071

Mailing Address808 Eldorado Suite 102Bloomington, IL 61704 · (309) 706-3190 · Fax (309) 588-4115

Phone(309) 706-3190

Fax(309) 588-4115

Sole ProprietorYes

Medical School CMSOtherGraduated 2002

Enumeration DateJanuary 29, 2007

Last NPPES UpdateNovember 29, 2011

✔ NPI 1861538779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071007538

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 180000680 (IL)

808 S ELDORADO RD STE 102, Bloomington, IL 61704

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Phillip Arthur Foster Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 28, 2024 through August 28, 2026.

Opt-Out Effective DateAugust 28, 2024

Opt-Out In Effect ThroughAugust 28, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 14

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

VICTORIA FETTER

Counselor (Mental Health)