PAUL D PHILLIP
NPI 1447875133
Counselor - Mental Health in Rio Rancho, NM

Active since June 09, 2020PECOS EnrolledAccepts Medicare Assignment
1207 GOLF COURSE RD NE, SUITE C, RIO RANCHO, NM 87124(505) 994-1229 Get Directions Write a Review

NPPES record last updated: June 9, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Paul D Phillip NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL D PHILLIP (NPI 1447875133) is an individual mental health provider in Rio Rancho, New Mexico and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1447875133
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NamePAUL D PHILLIP
Location Address1207 GOLF COURSE RD NE, SUITE CRio Rancho, NM 87124
Mailing Address527 Brianna Loop NeAlbuquerque, NM 87113-1479 · (505) 414-4029
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJune 9, 2020
NPPES CertifiedJune 9, 2020
NPI 1447875133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1207 GOLF COURSE RD NE, Rio Rancho, NM 87124

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Paul D Phillip is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991233611
PECOS Enrollment IDI20250109000292
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447875133, enumerated as an "individual" on June 09, 2020.

The provider is located at 1207 GOLF COURSE RD NE SUITE C RIO RANCHO, NM 87124 and the phone number is (505) 994-1229.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.