Provider Demographics
NPI:1548549777
Name:PHILLIPS, SARAH HIGHSTEIN (PSYD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:HIGHSTEIN
Last Name:PHILLIPS
Suffix:
Gender:
Credentials:PSYD
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:MARIN
Other - Last Name:HIGHSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:PO BOX 933421
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44193-0039
Mailing Address - Country:US
Mailing Address - Phone:937-641-3000
Mailing Address - Fax:
Practice Address - Street 1:1 CHILDRENS PLZ
Practice Address - Street 2:DEPARTMENT OF PSYCHOLOGY
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45404-1898
Practice Address - Country:US
Practice Address - Phone:937-641-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-05
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD4938103TC2200X
OHP.6810103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0073552Medicaid