MS. MARY PHILLIPS M.A., L.P.
NPI 1972677979
Psychologist - Clinical in Elk River, MN

Q: What is Mary Phillips's NPI number?

The NPI number for Mary Phillips is 1972677979. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Q: What is Mary Phillips's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Mary Phillips was last updated on February 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 20, 2006PECOS EnrolledAccepts Medicare Assignment

633 MAIN ST NW APT 220, ELK RIVER, MN 55330(612) 422-0890 Get Directions Write a Review

NPPES record last updated: February 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Mary Phillips M.a., L.p. NPPES

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

MS. MARY PHILLIPS M.A., L.P. (NPI 1972677979) is an individual clinical provider in Elk River, Minnesota, licensed in Minnesota (LP 4021) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1972677979

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMS. MARY PHILLIPSCredential: M.A., L.P.

Location Address633 MAIN ST NW APT 220Elk River, MN 55330-1792

Mailing Address633 Main St Nw Apt 220Elk River, MN 55330-1792 · (612) 422-0890

Phone(612) 422-0890

Sole ProprietorNo

Medical School CMSOtherGraduated 1993

Enumeration DateNovember 20, 2006

Last NPPES UpdateFebruary 12, 2022

NPPES CertifiedFebruary 12, 2022

✔ NPI 1972677979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MN · LP 4021

Definition

A 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.

633 MAIN ST NW APT 220, Elk River, MN 55330

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Other Identifiers 1

Other877934100MN · Mhcp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

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

Ms. Mary Phillips M.a., L.p. 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 ID6800339441

PECOS Enrollment IDI20240624001803

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55330 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.28 typical visit price

range $56.00 – $168.28

Typical copayment $42.07 (range $14.00 – $42.07)

Most-billed visit code 99205

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mary Phillips's NPI number?

The NPI number for Mary Phillips is 1972677979. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Mary Phillips located?

Mary Phillips practices at 633 Main St NW Apt 220, Elk River, MN 55330. The listed phone number is (612) 422-0890.

What is Mary Phillips's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Mary Phillips enrolled in Medicare?

Yes. Mary 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.

What insurance does Mary Phillips accept?

Health plans from HealthPartners list Mary Phillips as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Phillips was last updated on February 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.