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Deactivated NPI 1194825877 Deactivated / Inactive NPI Male Practitioner

Dr. John M Phillips , PhD

Psychologist • Grand Ledge, MI

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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, Dr. John Phillips has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 23, 2006
NPI Deactivation Date October 07, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. John Phillips, PhD was a registered Psychologist practicing in Grand Ledge, MI. Throughout an active medical career spanning 14 years, Dr. Phillips provided care at the practice location at 207 W JEFFERSON ST until profile deactivation on 2020-10-07.

Practice Location & Contact Primary Location

Practice Address

207 W Jefferson St

Grand Ledge, MI 488371542

Telephone 5176278357
Fax 5176278922
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Grand Ledge, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Grand Ledge, MI (2669 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

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MI 6301001739

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1649370321

LMSWACSW

NPI 1902906688

Doctor of Philosophy (Ph.D.)

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 October 07, 2020

Record deactivated on October 07, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 207 W JEFFERSON ST, GRAND LEDGE, MI 488371542 (Tel: 5176278357)

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Updated Business Mailing Address July 08, 2007

Registered at 207 W JEFFERSON ST, GRAND LEDGE, MI 488371542 (Tel: 5176278357)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN PHILLIPS, PHD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #6301001739 in MI)

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Initial NPI Registration & Enumeration September 23, 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: 1194825877
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 23, 2006
Last Update: July 08, 2007
Deactivation Date: October 07, 2020

Mailing Address

207 W Jefferson St

Grand Ledge, MI 488371542

Phone: 5176278357

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.