Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285411991 Individual Practitioner Male Practitioner

Phillip Michael John Fleming , NYCPS-P-

Peer Specialist • Geneva, NY

Professional Overview & Biography Verified Profile Summary

Phillip Fleming, NYCPS-P- is a registered healthcare professional specializing in Peer Specialist in Geneva, NY. Practice services are available at 500 PULTENEY STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

500 Pulteney Street
Apt. 22

Geneva, NY 144563143

Telephone 3158783877

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Geneva, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Geneva, NY (1559 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-24
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License NY NYCPS-P-3522

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Peer Specialist

NUCC Taxonomy Code: 175T00000X

State License NY CRPA-3588

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Certified Recovery Peer Advocate
CRPA-3588 (NY)
Commercial Insurance / Payer ID Certified Peer Specialist
NYCPS-P-3522 (NY)

Secondary Practice Locations

411 Bronx River Rd Apt 8m

Yonkers, NY 107043458

Phone: 9144007566

411 Bronx River Rd

Yonkers, NY 107043446

Phone: 9144520493

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 14, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location September 14, 2023

Registered at 500 PULTENEY STREET, APT. 22, GENEVA, NY 144563143 (Tel: 3158783877)

📍
Updated Business Mailing Address September 14, 2023

Registered at 500 PULTENEY ST APT 22, GENEVA, NY 144563143 (Tel: 3158783788)

👤
Provider Name / Credentials Updated September 14, 2023

Recorded as PHILLIP FLEMING, NYCPS-P-3522

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2023

Peer Specialist (License #CRPA-3588 in NY)

🟢
Initial NPI Registration & Enumeration September 14, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285411991
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2023
Last Update: October 24, 2024
Sole Proprietor: No

Mailing Address

500 Pulteney St Apt 22

Geneva, NY 144563143

Phone: 3158783788

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.