IndividualActive
Jay Phillippi, PH.D.
NPI 1053692020 · Psychologist · Fargo, ND
Jay Phillippi, PH.D. is a Psychologist provider in Fargo, ND (NPI 1053692020).
Provider details
- NPI number
- 1053692020
- Entity type
- Individual
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
112 University Dr N Ste 300
Fargo, ND 58102
Phone: (701) 866-3641
Fax: (701) 660-1071
Street-level locationGet directions
Mailing address
112 University Dr N Ste 140
Fargo, ND 58102-4661
Registry dates
- Enumerated
- 2011-09-06
- Last updated
- 2025-03-10
- Certified
- 2025-03-10
Frequently asked questions
- What is Jay Phillippi's NPI number?
- Jay Phillippi's National Provider Identifier (NPI) is 1053692020, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jay Phillippi's specialty?
- Jay Phillippi is listed in the NPPES registry with a primary specialty of Psychologist (Behavioral Health & Social Service Providers).
- Where is Jay Phillippi located?
- Jay Phillippi's practice location on file with NPPES is 112 University Dr N Ste 300, Fargo, ND 58102.
- What is Jay Phillippi's phone number?
- The practice phone number listed in the NPPES registry for Jay Phillippi is (701) 866-3641.
- Is Jay Phillippi's NPI active?
- Yes — Jay Phillippi's NPI (1053692020) is active in the NPPES registry as of the last update on 2025-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.