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Dr. Derek Phillips, PSYD
Prescribing (Medical) Psychologist in Charleston, Illinois
NPI 1467902809

Derek Phillips is a Prescribing (Medical) Psychologist based in Mattoon, IL and is specialized in Prescribing (Medical). Derek Phillips practices in Charleston, IL and has the professional credentials of PSYD. The NPI Number for Derek Phillips is 1467902809 and holds a License No. 071.009513 (Illinois).

The current practice location address for Derek Phillips is 700 W Lincoln Ave, Charleston, IL and can be reached out via phone at 217-238-4042 and via fax at 217-238-4053.

Location: 700 W Lincoln Ave, Charleston, IL, 61938-0372
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467902809
Provider Name
Derek Phillips
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
700 W Lincoln Ave, Charleston, IL, 61938-0372
Phone Number
217-238-4042
Fax Number
217-238-4053
Provider Enumeration Date
10/10/2016
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
700 W Lincoln Ave
City
Charleston
State
Illinois
Zip
61920-2467
Phone Number
217-238-4042
Fax Number
217-238-4053
person
Provider Business Mailing Address Details
Address
700 W Lincoln Ave
City
Charleston
State
Illinois
Zip
61920-2467
Phone Number
217-238-4042
Fax Number
217-238-4053
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
074.000012 (Illinois)
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
071.009513 (Illinois)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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