Warren H. Phillips, PH, D.
NPI 1083705917ActiveIndividual· Psychologist· Minneapolis, MN
Psychologist (PH, D.) with Wr Jacobs Enterprises LLC, practicing in Minneapolis, Minnesota. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1083705917 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH, D. |
| Sole proprietor | No |
| NPI issued | Sep 27, 2006 |
| Last updated in NPPES | Nov 20, 2025 |
| Certified by provider | Nov 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 356 | IA |
| Psychologist | 103T00000X | 00842 | IA |
| Psychologist, Cognitive & Behavioral | 103TB0200X | 00842 | IA |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | 00842 | IA |
| Psychologist | 103T00000X | 0006871 | CO |
| Psychologist, Clinical | 103TC0700X | 00842 | IA |
| Psychologist, Intellectual & Developmental Disabilities | 103TM1800X | 00842 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (IA) |
|---|
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Wr Jacobs Enterprises LLCAnkeny, IA · 4 clinicians
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