Provider Demographics
NPI:1144845942
Name:PHILLIPS, ZOEY (PHD)
Entity type:Individual
Prefix:DR
First Name:ZOEY
Middle Name:
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:357A 8TH AVE.
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-4825
Mailing Address - Country:US
Mailing Address - Phone:917-773-8150
Mailing Address - Fax:
Practice Address - Street 1:357A 8TH AVE.
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-4825
Practice Address - Country:US
Practice Address - Phone:917-773-8150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-08
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00772100103T00000X
NY025272103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist