Individual provider · Type 1 NPI

Jay Robert Phillippi, PhD

Psychologist · Fargo, ND

NPI number 1053692020 Active

Practice location

112 University Dr N Ste 300
Fargo, ND 58102

Fax (701) 660-1071

Mailing address

112 University Dr N Ste 140
Fargo, ND 58102-4661

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XNone listed

Psychologist: 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 adjustmen…

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About NPI 1053692020

Jay Robert Phillippi, PhD's National Provider Identifier is 1053692020, issued on Sep 6, 2011. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Fargo, ND. The record was last updated on Mar 10, 2025.