Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Warren H Phillips, PHD

Individual provider Psychologist · NPI 1083705917

Dr. Warren H Phillips, PHD is a Clinical Psychologist in Minneapolis, Minnesota. Qualified in 1999, 27 years ago. Practices with Wr Jacobs Enterprises LLC, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Colorado and Iowa.

Years since qualifying
27
Licensed in
CO, IA
In the registry since
2006
Specialties on file
7
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

400 S 4th St Ste 400
Minneapolis, MN 55415-1419
Phone: (970) 201-1774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 356 (IA)
Psychologist Taxonomy 103T00000X · Licence 00842 (IA)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence 00842 (IA)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence 00842 (IA)
Psychologist Taxonomy 103T00000X · Licence 0006871 (CO)
Clinical Psychologist Taxonomy 103TC0700X · Licence 00842 (IA)
Intellectual & Developmental Disabilities Psychologist Taxonomy 103TM1800X · Licence 00842 (IA)

Record details

NPI number1083705917
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedSeptember 27, 2006
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025
Mailing address400 S 4th St Ste 400, Minneapolis, MN 55415-1419

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Wr Jacobs Enterprises Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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