RYAN COBURN-PHILLIPS
NPI 1508416033
Counselor - Mental Health in Buffalo, NY

Active since September 17, 2019PECOS EnrolledAccepts Medicare Assignment
699 HERTEL AVE STE 350, BUFFALO, NY 14207(716) 831-1977 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 15, 2024, Jan 6, 2022, Sep 19, 2019 (3 updates tracked since 2019).

About Ryan Coburn-phillips NPPES

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

RYAN COBURN-PHILLIPS (NPI 1508416033) is an individual mental health provider in Buffalo, New York and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1508416033
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameRYAN COBURN-PHILLIPS
Location Address699 HERTEL AVE STE 350Buffalo, NY 14207-2341
Mailing Address55 Dodge RdGetzville, NY 14068-1205 · (716) 831-2700
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 17, 2019
Last NPPES UpdateAugust 15, 20243 updates tracked since enumeration
NPPES CertifiedAugust 15, 2024
NPI 1508416033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
699 HERTEL AVE STE 350, Buffalo, NY 14207

Other Names 1

Former Name (1)Ryan Phillips

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

Ryan Coburn-phillips 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 ID3173975000
PECOS Enrollment IDI20240117000187
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
699 HERTEL AVE STE 350
BUFFALO, NY 14207
Counselor
699 HERTEL AVE STE 350
BUFFALO, NY 14207
Social Worker (Clinical)
699 HERTEL AVE STE 350
BUFFALO, NY 14207
Social Worker (Clinical)
699 HERTEL AVE STE 350
BUFFALO, NY 14207
Counselor (Mental Health)
699 HERTEL AVE STE 350
BUFFALO, NY 14207
Nurse Practitioner (Psychiatric/Mental Health)
699 HERTEL AVE STE 350
BUFFALO, NY 14207
Counselor (Addiction (Substance Use Disorder))
699 HERTEL AVE STE 350
BUFFALO, NY 14207
Counselor
699 HERTEL AVE STE 350
BUFFALO, NY 14207

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Coburn-phillips's NPI number?

The NPI number for Ryan Coburn-phillips is 1508416033. It was assigned to this individual provider in the NPPES registry on September 17, 2019. The provider is also known as Ryan Phillips.

Where is Ryan Coburn-phillips located?

Ryan Coburn-phillips practices at 699 Hertel Ave Ste 350, Buffalo, NY 14207. The listed phone number is (716) 831-1977.

What is Ryan Coburn-phillips's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Ryan Coburn-phillips enrolled in Medicare?

Yes. Ryan Coburn-phillips is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Ryan Coburn-phillips was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.