DR. KRISTY K PHILLIPS PHD
NPI 1902155047
Student in an Organized Health Care Education/Training Program in San Mateo, CA

Active since September 05, 2012Opted out of Medicare · through Jan 14, 2028
225 37TH AVE, 3RD FLOOR, SAN MATEO, CA 94403(415) 200-6521 Get Directions Write a Review

NPPES record last updated: July 16, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kristy K Phillips Phd NPPES

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

DR. KRISTY K PHILLIPS PHD (NPI 1902155047) is an individual student in an organized health care education/training program in San Mateo, California and active in the NPI registry since September 2012. She has opted out of Medicare through January 14, 2028.

NPPES Registry Identity

NPI1902155047
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. KRISTY K PHILLIPSCredential: PHD
Location Address225 37TH AVE, 3RD FLOORSan Mateo, CA 94403-4324
Mailing Address211 Alberta AveSan Carlos, CA 94070-4646 · (415) 200-6521
Sole ProprietorNo
Enumeration DateSeptember 5, 2012
Last NPPES UpdateJuly 16, 2014
NPI 1902155047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
225 37TH AVE, San Mateo, CA 94403

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. Kristy K Phillips Phd 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 January 14, 2024 through January 14, 2028.

Opt-Out Effective DateJanuary 14, 2024
Opt-Out In Effect ThroughJanuary 14, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
225 37TH AVE
SAN MATEO, CA 94403
Student in an Organized Health Care Education/Training Program
225 37TH AVE, 3RD FLOOR
SAN MATEO, CA 94403
Occupational Therapist (Mental Health)
225 37TH AVE, 3RD FLOOR
SAN MATEO, CA 94403
Student in an Organized Health Care Education/Training Program
225 37TH AVE, 3RD FLOOR
SAN MATEO, CA 94403
Registered Nurse
225 37TH AVE
SAN MATEO, CA 94403
Case Manager/Care Coordinator
225 37TH AVE
SAN MATEO, CA 94403
Student in an Organized Health Care Education/Training Program
225 37TH AVE
SAN MATEO, CA 94403
Case Manager/Care Coordinator
225 37TH AVE
SAN MATEO, CA 94403

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 Kristy Phillips's NPI number?

The NPI number for Kristy Phillips is 1902155047. It was assigned to this individual provider in the NPPES registry on September 5, 2012.

Where is Kristy Phillips located?

Kristy Phillips practices at 225 37th Ave 3rd Floor, San Mateo, CA 94403. The listed phone number is (415) 200-6521.

What is Kristy Phillips's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kristy Phillips enrolled in Medicare?

No. Kristy Phillips has opted out of Medicare through January 14, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kristy Phillips was last updated on July 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.