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

Active since November 20, 2006PECOS Enrolled
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: July 19, 2026.

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.

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
Sole ProprietorNo
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

Other Identifiers 1

Other877934100MN · Mhcp

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Mary Phillips M.a., L.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

The NPI number assigned to this healthcare provider is 1972677979, enumerated as an "individual" on November 20, 2006.

The provider is located at 633 MAIN ST NW APT 220 ELK RIVER, MN 55330 and the phone number is (612) 422-0890.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.

The provider might be accepting Accepts: HealthPartners, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.