Dr Yvette Michelle Phillips, PSYD is a
Counselor - Professional based in Fort Worth, Texas. Dr Yvette Michelle Phillips is licensed to practice in Texas (license number 63253) and her current practice location is
6612 N Riverside Dr Unit 140, Fort Worth, Texas. She can be reached at her office (for appointments etc.) via phone at
(817) 306-9770.
NPI number for Dr Yvette Michelle Phillips is 1265479562 and her current mailing address is 6612 N Riverside Dr Unit 140, Fort Worth, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1265479562.
Healthcare Provider's Profile
| Full Name | Dr Yvette Michelle Phillips |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Professional |
|---|
| Location | 6612 N Riverside Dr Unit 140, Fort Worth, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1265479562
- Provider Enumeration Date: 06/02/2006
- Last Update Date: 05/20/2009
Medical Identifiers
Medical identifiers for Dr Yvette Michelle Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265479562 | NPI | - | NPPES |
| 493990618 | Medicaid | MO | |
| 258635-000 | Other | TX | MEGELLAN |
| 7160205 | Other | MO | AETNA |
| 63253 | Other | TX | CHAMPUS |
| 188361301 | Medicaid | TX | |
| 188424 | Other | MO | BLUE CROSS BLUE SHIELD |
| 33327021 | Other | MO | BLUE CROSS BLUE SHIELD PP |
| 34873012 | Other | TX | FREEDOM NETWORK SELECT |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 002675 (Missouri) | Secondary |
| 101YP2500X | Counselor - Professional | 63253 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Yvette Michelle Phillips is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Yvette Michelle Phillips, PSYD
6612 N Riverside Dr Unit 140,
Fort Worth, TX 76137-6664
Ph: (817) 306-9770 | Dr Yvette Michelle Phillips, PSYD
6612 N Riverside Dr Unit 140,
Fort Worth, TX 76137-6664
Ph: (817) 306-9770 |
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