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

Individual provider Clinical Psychologist · NPI 1972755346

Phylette Nicole Mitchellwillis, LICENSEDPSYCHOLOGIS is a Clinical Psychologist in Galveston, Texas. Qualified in 2005, 21 years ago. Practices with Cpf Sjn Outpatient LLC, a 22-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
21
Licensed in
TX
In the registry since
2008
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Practice location Address checks out

2200 Market St Ste 600
Galveston, TX 77550-1532
Phone: (409) 762-8636
Fax: (409) 762-4185
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 33674 (TX)

Record details

NPI number1972755346
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICENSEDPSYCHOLOGIS
Sole proprietorNo
NPI enumeratedOctober 16, 2008
Last updated in NPPESOctober 24, 2008

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Cpf Sjn Outpatient Llc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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