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Deactivated NPI 1962576439 Deactivated / Inactive NPI Male Practitioner

Gary L Phillips , STD

Psychologist - Clinical • Northfield, IL

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Gary Phillips has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 17, 2006
NPI Deactivation Date March 20, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Gary Phillips, STD was a registered Psychologist - Clinical practicing in Northfield, IL. Throughout an active medical career spanning 18 years, Gary Phillips provided care at the practice location at 550 SUNSET RIDGE RD until profile deactivation on 2024-03-20.

Practice Location & Contact Primary Location

Practice Address

550 Sunset Ridge Rd

Northfield, IL 600931027

Telephone 8474460050
Fax 8478643538

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Northfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.2 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
37 Specialists

Practicing in Northfield, IL (4140 Statewide)

Telehealth Adoption Rate
10.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 20, 2024

Record deactivated on March 20, 2024

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 550 SUNSET RIDGE RD, NORTHFIELD, IL 600931027 (Tel: 8474460050)

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Updated Business Mailing Address July 09, 2007

Registered at 3609 CENTRAL ST, EVANSTON, IL 602014917 (Tel: 8478646312)

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Provider Name / Credentials Updated July 09, 2007

Recorded as GARY PHILLIPS, S.T.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Psychologist

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Initial NPI Registration & Enumeration November 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962576439
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 17, 2006
Last Update: July 09, 2007
Deactivation Date: March 20, 2024

Mailing Address

3609 Central St

Evanston, IL 602014917

Phone: 8478646312

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.