Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053692020 Individual Practitioner Male Practitioner

Dr. Jay Robert Phillippi , PhD

Psychologist • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Dr. Jay Phillippi, PhD is a registered healthcare professional specializing in Psychologist in Fargo, ND. Practice services are available at 112 UNIVERSITY DR N STE 300 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

112 University Dr N Ste 300

Fargo, ND 58102

Telephone 7018663641
Fax 7016601071
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.5 Yrs
State Avg: 18.6 Yrs
Regional Practice Density
53 Specialists

Practicing in Fargo, ND (147 Statewide)

Telehealth Adoption Rate
9.4% 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: 2025-03-10
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

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 1306149323

Licensed Professional Clinical Counselor

Jelisa Phillippi

Behavior Analyst

NPI 1316475908

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address March 10, 2025

Registered at 112 UNIVERSITY DR N STE 140, FARGO, ND 581024661 (Tel: 7018663641)

📍
Updated Practice Location August 16, 2018

Registered at 112 UNIVERSITY DR N STE 300, FARGO, ND 58102 (Tel: 7018663641)

NPI Profile Active September 06, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location September 06, 2011

Registered at 464 CLEARVIEW CT, MOORHEAD, MN 565606800 (Tel: 7018663641)

📍
Updated Business Mailing Address September 06, 2011

Registered at 464 CLEARVIEW CT, MOORHEAD, MN 565606800 (Tel: 7018663641)

👤
Provider Name / Credentials Updated September 06, 2011

Recorded as JAY PHILLIPPI, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2011

Psychologist

🟢
Initial NPI Registration & Enumeration September 06, 2011

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: 1053692020
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 06, 2011
Last Update: March 10, 2025
Sole Proprietor: Yes

Mailing Address

112 University Dr N Ste 140

Fargo, ND 581024661

Phone: 7018663641

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.