Dr Forman Phillips, PHD is a
Psychologist - Clinical Child & Adolescent based in Wynantskill, New York. Dr Forman Phillips is licensed to practice in New York (license number 4809) and his current practice location is
9 W Sand Lake Rd, Wynantskill, New York. He can be reached at his office (for appointments etc.) via phone at
(518) 283-1974.
NPI number for Dr Forman Phillips is 1417007899 and his current mailing address is 9 W Sand Lake Rd, Wynantskill, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417007899.
Healthcare Provider's Profile
| Full Name | Dr Forman Phillips |
|---|
| Gender | Male |
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| Speciality | Psychologist - Clinical Child & Adolescent |
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| Location | 9 W Sand Lake Rd, Wynantskill, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417007899
- Provider Enumeration Date: 01/10/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Forman Phillips such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417007899 | NPI | - | NPPES |
| 01653194 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 4809 (New York) | 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 Forman 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 Forman Phillips, PHD
9 W Sand Lake Rd,
Wynantskill, NY 12198-7954
Ph: (518) 283-1974 | Dr Forman Phillips, PHD
9 W Sand Lake Rd,
Wynantskill, NY 12198-7954
Ph: (518) 283-1974 |
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