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

Individual provider Psychologist · NPI 1053692020

Jay Robert Phillippi, PHD is a Psychologist in Fargo, North Dakota. Practices as a sole proprietor. Registered with an NPI since 2011.

In the registry since
2011
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

112 University Dr N Ste 300
Fargo, ND 58102
Phone: (701) 866-3641
Fax: (701) 660-1071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1053692020
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedSeptember 6, 2011
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025
Mailing address112 University Dr N Ste 140, Fargo, ND 58102-4661

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