COLIN JOSEPH PSYCHOLOGIST PHD PLLC
NPI 1851969117
Clinic/Center - Adult Mental Health in Prescott, AZ

Active since June 14, 2021
1666 W PINE CONE WAY, PRESCOTT, AZ 86303(928) 499-8405(928) 227-2574 Get Directions Write a Review

NPPES record last updated: July 19, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 19, 2021, Jun 14, 2021 (2 updates tracked since 2021).

About Colin Joseph Psychologist Phd Pllc NPPES

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

COLIN JOSEPH PSYCHOLOGIST PHD PLLC (NPI 1851969117) is a healthcare organization registered as an adult mental health in Prescott, Arizona and active in the NPI registry since June 2021. The organization lists Lisa Lou Shannon-joseph, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1851969117
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameCOLIN JOSEPH PSYCHOLOGIST PHD PLLC
Location Address1666 W PINE CONE WAYPrescott, AZ 86303-6123
Mailing Address1666 W Pine Cone WayPrescott, AZ 86303-6123 · (928) 499-8405
Fax(928) 227-2574
Organization SubpartNo
Authorized OfficialLisa Lou Shannon-josephOffice Manager · (928) 499-8405
Enumeration DateJune 14, 2021
Last NPPES UpdateJuly 19, 20212 updates tracked since enumeration
NPPES CertifiedJuly 15, 2021
✔ NPI 1851969117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
1666 W PINE CONE WAY, Prescott, AZ 86303

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colin Joseph Psychologist Phd Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Colin Joseph Psychologist Phd PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1053577999
141 S MCCORMICK ST SUITE 206-M
Prescott, AZ 86303
(928) 499-8405
✔ PECOS✔ Accepts Medicare5.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Colin Joseph Psychologist Phd PLLC's NPI number?

The NPI number for Colin Joseph Psychologist Phd PLLC is 1851969117. It was assigned to this organization in the NPPES registry on June 14, 2021.

Where is Colin Joseph Psychologist Phd PLLC located?

Colin Joseph Psychologist Phd PLLC is located at 1666 W Pine Cone Way, Prescott, AZ 86303. The listed phone number is (928) 499-8405.

What is Colin Joseph Psychologist Phd PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Colin Joseph Psychologist Phd PLLC enrolled in Medicare?

Yes. Colin Joseph Psychologist Phd PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Colin Joseph Psychologist Phd PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Colin Joseph Psychologist Phd PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Colin Joseph Psychologist Phd PLLC was last updated on July 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.