DR. PHILLIP D LETT (NPI# 1710935515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710935515 |
Entity Type | Individual |
Full Name | DR. PHILLIP D LETT |
Credential | PH.D. |
Practice Address |
4222 E Camelback Rd H230 Phoenix AZ 85018-2732 |
Mailing Address |
4222 E Camelback Rd H230 Phoenix AZ 85018-2745 |
Practice Telephone | 6028520911 |
Practice Fax Number | 6028520632 |
Mailing Telephone | 6028520911 |
Mailing Fax Number | 6028520632 |
Enumeration Date | 2006-05-04 |
Last Update Date | 2013-04-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103G00000X | Clinical Neuropsychologist | 1627 | AZ | Behavioral Health & Social Service Providers |
N | 103T00000X | Psychologist | 1627 | AZ | Behavioral Health & Social Service Providers |
N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
1627 | AZ | Behavioral Health & Social Service Providers |
N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
1627 | AZ | Behavioral Health & Social Service Providers |
Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
1627 | AZ | Behavioral Health & Social Service Providers |
Street Address |
4222 E CAMELBACK RD H230 |
City | PHOENIX |
State | AZ |
Zip Code | 85018-2732 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881669679 | Ronald S Burns | Anesthesiology | 4222 E Camelback Rd, Suite H150, Phoenix, AZ 85018-2745 | 2006-02-23 |
1568876480 | Shawn Mcgarvey | Nurse Practitioner | 4222 E Camelback Rd, Ste H150, Phoenix, AZ 85018-2795 | 2014-06-18 |
1306047089 | Massoumeh S. Kazemi | Counselor | 4222 E Camelback Rd, Suite H210, Phoenix, AZ 85018-2745 | 2007-05-30 |
1801016878 | Professional Psychology Associates, PC | Clinic/Center | 4222 E Camelback Rd, Suite H230, Phoenix, AZ 85018-2745 | 2007-05-01 |
1447474440 | Linnus S. Pecaut | Psychologist | 4222 E Camelback Rd, 230h, Phoenix, AZ 85018-2745 | 2007-04-12 |
1619033701 | Charles Craig Mills | Counselor | 4222 E Camelback Rd, Suite 230h, Phoenix, AZ 85018-2745 | 2006-12-31 |
1821003419 | Professional Psychology Associates PC | Psychologist | 4222 E Camelback Rd, Suite H230, Phoenix, AZ 85018-2745 | 2006-07-30 |
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---|---|---|---|---|
1467098483 | Skyfalls LLC | Plastic Surgery | 3723 E Sells Drive, Phoenix, AZ 85018 | 2019-11-25 |
1568944148 | Avicenna Integrative Medicine Plc | Internal Medicine | 4429 N 44th St, Phoenix, AZ 85018 | 2018-08-30 |
1124547682 | Consulting Options, LLC | Orthopaedic Surgery | 5110 North 44th Street, Suite L200, Phoenix, AZ 85018 | 2017-09-15 |
1902322472 | Saskia Soliz | Behavioral Analyst | 2940 N 40th Street, Unit 19, Phoenix, AZ 85018 | 2017-08-16 |
1700233418 | Harriet Frost | Marriage & Family Therapist | 4500 N. 32nd Street, Suite 100-d, Phoenix, AZ 85018 | 2016-05-23 |
1356733547 | Margaret Murphy Conley | Acupuncturist | 3040 N 44th St Ste 3, Phoenix, AZ 85018 | 2015-02-24 |
1457766792 | Anne Marie Hatch | Psychiatry & Neurology | 5090 N 40th St Ste 250a, Phoenix, AZ 85018 | 2014-06-25 |
1972848315 | Crystal M Ostermeyer | Physician Assistant | 4350 East Camelback Rd, Suite G-100, Phoenix, AZ 85018 | 2012-12-11 |
1699029652 | Monte Vista School | Local Education Agency (LEA) | 3501 E. Osborn Road, Phoenix, AZ 85018 | 2012-10-30 |
1962754028 | Jill R. Zweig D.o., PC | Psychiatry & Neurology | 5110 N 40th Street, Suite 104, Phoenix, AZ 85018 | 2012-10-12 |
Find all providers in zip 85018 |
Taxonomy Code | 103TR0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Rehabilitation |
Definition to come... |
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1083863526 | Turning Point Battered Women's Shelter, Inc. | Psychologist | 202 East Gwen Street, Phoenix, AZ 85042-7667 | 2008-09-09 |
1053894162 | Beacon Group Sw, Inc. | Psychologist | 1020 S 5th St, Phoenix, AZ 85004-2716 | 2018-09-13 |
1902351125 | Jessica Schneider | Psychologist | 222 W Thomas Rd Ste 315, Phoenix, AZ 85013-4422 | 2016-08-17 |
1821003419 | Professional Psychology Associates PC | Psychologist | 4222 E Camelback Rd, Suite H230, Phoenix, AZ 85018-2745 | 2006-07-30 |
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1992868053 | Marc R Linzer | Psychologist | 5410 S Lakeshore Dr, 102, Tempe, AZ 85283 | 2006-12-19 |
1104932250 | The Beacon Group Sw | Psychologist | 308 W Glenn, Tucson, AZ 85705 | 2006-08-22 |
1013524719 | Richard David Noel | Psychologist | 4565 W Lord Redman Loop, Tucson, AZ 85741-4042 | 2020-09-26 |
1023202132 | Fernanda Martinez | Psychologist | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2007-08-31 |
1659561397 | Anne Grete Scott | Psychologist | 3601 S 6th Ave, Tucson, AZ 85723-0001 | 2007-07-30 |
1700949906 | Iris Pearlman | Psychologist | 2238 E Ginter Road, Sunnyside Unified School District No 12, Tucson, AZ 85706 | 2006-12-18 |
1205820164 | Daniel E Kruger | Psychologist | 1601 W Saint Marys Rd, Tucson, AZ 85745-2623 | 2005-09-07 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.