Mary Phillips, M.A., L.P.
NPI 1972677979ActiveIndividual· Psychologist, Clinical· Elk River, MN
Psychologist, Clinical (M.A., L.P.) with Sailor Health Medical PA and 1 other group, practicing in Elk River, Minnesota. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1972677979 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.A., L.P. |
| Sole proprietor | No |
| NPI issued | Nov 20, 2006 |
| Last updated in NPPES | Feb 12, 2022 |
| Certified by provider | Feb 12, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | LP 4021 | MN |
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 (MN) |
|---|
Education and affiliations
| Graduation year | 1993 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical groups
- Sailor Health Medical PASmyrna, DE · 355 clinicians
- Glasswing Counseling and Wellness LLCPrinceton, MN · 3 clinicians
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- 1861567513