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Faith L. Phillips, Ph.D., Pllc

Clinical Child & Adolescent Psychologist in Broken Bow, OK · enumerated 2008 · authorized official Faith Phillips, Psychologist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104079474

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Registry record

Entity type Organization (Type 2)
Legal business name Faith L. Phillips, Ph.D., Pllc
Practice address 411 S. Park Drive, Broken Bow, OK, 74728
Phone (580) 584-5550
Fax (866) 584-1223
Enumeration date Oct 29, 2008
Last updated in NPPES Jun 1, 2012

Taxonomy & classification

103TC2200X Clinical Child & Adolescent Psychologist Behavioral Health & Social Service Providers · License 513 (OK) Primary

Authorized official

Name Faith Phillips
Title Psychologist
Phone (580) 584-5550

Other identifiers

Identifier Type State Issuer
200216630A Medicaid OK -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Faith L. Phillips, Ph.D., Pllc?
The NPI for Faith L. Phillips, Ph.D., Pllc is 1104079474, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Faith L. Phillips, Ph.D., Pllc?
NPPES lists Faith Phillips (Psychologist) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-06-01.