Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730908088 Individual Practitioner Male Practitioner

John R Phillips

Psychologist - School • Fort Wayne, IN

Professional Overview & Biography Verified Profile Summary

John Phillips is a registered healthcare professional specializing in Psychologist - School in Fort Wayne, IN. Practice services are available at 1200 BARR ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1200 Barr St

Fort Wayne, IN 468023502

Telephone 2604671010
Associated Practice Facility / Clinic
🏢 Fort Wayne Community Schools Facility NPI 1033080775

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - School in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
28 Specialists

Practicing in Fort Wayne, IN (517 Statewide)

Telehealth Adoption Rate
0.0% 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

CMS Verified: 2024-10-04
Psychologist - School Primary Specialty

NUCC Taxonomy Code: 103TS0200X

State License IN 10104377

A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Ashley Gorrell

Psychologist - School

NPI 1093532780
Treya Krysyl Paquera

Physical Therapist

NPI 1376228080

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 04, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location October 04, 2024

Registered at 1200 BARR ST, FORT WAYNE, IN 468023502 (Tel: 2604671010)

📍
Updated Business Mailing Address October 04, 2024

Registered at 1200 S CLINTON ST, FORT WAYNE, IN 468023504 (Tel: 2604672850)

👤
Provider Name / Credentials Updated October 04, 2024

Recorded as JOHN PHILLIPS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2024

Psychologist (License #10104377 in IN)

🟢
Initial NPI Registration & Enumeration October 04, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1730908088
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2024
Last Update: October 04, 2024
Sole Proprietor: Yes

Mailing Address

1200 S Clinton St

Fort Wayne, IN 468023504

Phone: 2604672850

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

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