DR. R. PHILLIP COLON PH.D. NPI 1306922786
Psychologist - Clinical in Mineola, NY

Individual Male Years of Experience 42 Psychologist Clinical PECOS Enrolled Accepts Medicare Approved Payment

About DR. R. PHILLIP COLON PH.D.

R. Colon is a provider established in Mineola, New York and his medical specialization is Psychologist with a focus in clinical with more than 42 years of experience. The NPI number of R. Colon is 1306922786 and was assigned on October 2006. The practitioner's primary taxonomy code is 103TC0700X with license number 006916-1 (NY). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1306922786
Provider NameDR. R. PHILLIP COLON PH.D.
Location Address300 OLD COUNTRY RD SUITE 91 MINEOLA, NY 11501
Location Phone(516) 294-8914
Mailing Address300 OLD COUNTRY RD SUITE 91 MINEOLA, NY 11501
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1981
Is Sole Proprietor?Yes
Enumeration Date10-28-2006
Last Update Date07-08-2007

A clinical psychologist like Dr. R. Phillip Colon Ph.d. assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.R. Colon is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

R. Colon is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $53.75 for a new patient copayment and $43.51 for an established patient copayment.



Primary Taxonomy

Taxonomy Code103TC0700X
ClassificationPsychologist
TypeBehavioral Health & Social Service Providers
SpecializationClinical
License No.006916-1
License StateNY
Taxonomy DescriptionA psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

DR. R. PHILLIP COLON PH.D.
300 OLD COUNTRY RD
SUITE 91
MINEOLA, NY
ZIP 11501
Phone: (516) 294-8914
Fax: (516) 294-8532

Get Directions


Mailing Address

DR. R. PHILLIP COLON PH.D.
300 OLD COUNTRY RD
SUITE 91
MINEOLA, NY
ZIP 11501
Phone: (516) 294-8914
Fax: (516) 294-8532


Location Map

PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID42378259
PECOS Enrollment IDI20081016000370
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)No
Eligible order / refer Power Mobility DevicesNo

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 11501 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99205
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$71.49 $215.02 $215.02
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$17.87 $53.75 $53.75
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99215
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$22.05 $174.06 $174.06
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.51 $43.51 $43.51

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
V16781MEDICARE ID-TYPE UNSPECIFIED (04)NY

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1306922786
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23061824716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 0 + 6 + 1 + 8 + 2 + 4 + 7 + 1 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1306922786 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1124026505DR. ROBERT J NEJAT M.D.
Individual
Urology300 OLD COUNTRY RD SUITE 211
MINEOLA, NY 11501
(516) 741-2255
1679560692DR. STEVEN JAY RAVICH MD
Individual
Orthopaedic Surgery300 OLD COUNTRY RD SUITE 151
MINEOLA, NY 11501
(516) 747-5700
1275598575 HUE T. LY M.D.
Individual
Internal Medicine300 OLD COUNTRY RD SUITE 31
MINEOLA, NY 11501
(516) 294-9380
1578516563QUEENS NASSAU NEPHROLOGY SERVICES, P.C.
Organization
Internal Medicine (Nephrology)300 OLD COUNTRY RD SUITE 111
MINEOLA, NY 11501
(516) 745-0500
1699861237DR. MICHAEL PETELIS DO
Individual
Family Medicine300 OLD COUNTRY RD SUITE 211
MINEOLA, NY 11501
(516) 280-2599
1780715508MS. IRENE HAJISAVA L.C.S.W.
Individual
Social Worker (Clinical)300 OLD COUNTRY RD SUITE 91
MINEOLA, NY 11501
(516) 294-0411
1841415726 ALLISON ELISE DUBNER PHD
Individual
Psychologist300 OLD COUNTRY RD SUITE 251
MINEOLA, NY 11501
(516) 779-0527
1689894685 IRA J SPECTOR MD
Individual
Obstetrics & Gynecology (Gynecology)300 OLD COUNTRY RD
MINEOLA, NY 11501
(516) 747-4404
1013137017 STEVEN A KLEIN MD
Individual
Obstetrics & Gynecology (Maternal & Fetal Medicine)300 OLD COUNTRY RD
MINEOLA, NY 11501
(516) 747-4404
1588872113NASSAU SPORTS PHYSICAL THERAPY
Organization
Specialist300 OLD COUNTRY RD SUITE 191
MINEOLA, NY 11501
(516) 747-5050
1659516284SAMUEL KENAN,MD.,P.C
Organization
Specialist300 OLD COUNTRY RD SUITE221
MINEOLA, NY 11501
(516) 280-3733
1972839546 JEAN RUVEL MA, RD, CDE, CDN
Individual
Dietitian, Registered300 OLD COUNTRY RD SUITE 202
MINEOLA, NY 11501
(516) 747-4616
1548566342NORTH SHORE RETINA PHYSICIAN, PLLC
Organization
Ophthalmology300 OLD COUNTRY RD SUITE GL 51
MINEOLA, NY 11501
(516) 729-8515
1114925708DR. BINNY KOSHY M.D.
Individual
Internal Medicine (Nephrology)300 OLD COUNTRY RD SUITE 111
MINEOLA, NY 11501
(516) 745-0500
1356349922DR. ANDREY GONCHARUK M.D.
Individual
Internal Medicine (Nephrology)300 OLD COUNTRY RD SUITE 111
MINEOLA, NY 11501
(516) 745-0500
1871591453DR. MARIO MAROTTA M.D.
Individual
Internal Medicine (Nephrology)300 OLD COUNTRY RD SUITE 111
MINEOLA, NY 11501
(516) 745-0500
1598763187DR. YELENA ROSENBERG M.D.
Individual
Internal Medicine (Nephrology)300 OLD COUNTRY RD SUITE 111
MINEOLA, NY 11501
(516) 745-0500
1518965110DR. VINCENT STEVEN AVILA M.D.
Individual
Internal Medicine (Nephrology)300 OLD COUNTRY RD SUITE 111
MINEOLA, NY 11501
(516) 745-0500
1801831763 EDUARD BOVER D.O.
Individual
Internal Medicine (Nephrology)300 OLD COUNTRY RD SUITE 111
MINEOLA, NY 11501
(516) 745-0500
1992703490DR. CHRISTOPHER CAPUTO M.D.
Individual
Internal Medicine (Nephrology)300 OLD COUNTRY RD SUITE 111
MINEOLA, NY 11501
(516) 745-0500

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. R. Phillip Colon Ph.d. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.