MEDICARE: JANET PHILLIPS PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PSY 1224	HI
2	103TC0700X	Clinical Psychologist	PY 8051	FL

General Provider Information

NPI Number	:	1053555060
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET PHILLIPS PH.D.

Provider Business Mailing Address
First Line	:	909 KAPIOLANI BLVD
Second Line	:	UNIT 2702
City	:	HONOLULU
State	:	HI
Zip	:	96814-2199
Country	:	US
Telephone Number	:	808-236-8221
Fax Number	:	808-236-8222

Provider Business Practice Location Address
First Line	:	6600 KALANIANAOLE HWY
Second Line	:	SUITE 225
City	:	HONOLULU
State	:	HI
Zip	:	96825-1273
Country	:	US
Telephone Number	:	808-236-8221
Fax Number	:	808-263-8222

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2009
Last Update Date	:	10/28/2013

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Directions to “ JANET PHILLIPS PH.D.” Practice Location

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