Individual provider Active NPI

Phillip Michael John Fleming, NYCPS-P-3522

  • Peer Specialist
  • Geneva, NY
National Provider Identifier
1285411991
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
NYCPS-P-3522 Issued in NY
Practice address
500 Pulteney Street
Apt. 22
Geneva, NY 14456-3143
Phone
(315) 878-3877
NPI assigned
Sep 14, 2023
Last updated
Oct 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X CRPA-3588 NY
Peer Specialist 175T00000X NYCPS-P-3522 NY Primary

Addresses

Primary practice location

500 Pulteney Street
Apt. 22
Geneva, NY 14456-3143

Mailing address

500 Pulteney St Apt 22
Geneva, NY 14456-3143
Phone (315) 878-3788

Other practice location 1

411 Bronx River Rd Apt 8M
Yonkers, NY 10704-3458
Phone (914) 400-7566

Other practice location 2

411 Bronx River Rd
Yonkers, NY 10704-3446
Phone (914) 452-0493

Other identifiers 2

IdentifierTypeStateIssuer
CRPA-3588OtherNYCERTIFIED RECOVERY PEER ADVOCATE
NYCPS-P-3522OtherNYCERTIFIED PEER SPECIALIST

Other names 1

  • Dr. Phillip Michael John Fleming Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CRPA-3588NYMDPeer Specialist
NYCPS-P-3522NYMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Now, LLC PastSince Mar 1, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1285411991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PULTENEY ST APT 22",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144563143",
            "telephone_number": "315-878-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PULTENEY STREET",
            "address_2": "APT. 22",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144563143",
            "telephone_number": "315-878-3877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Bronx River Rd Apt 8M",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107043458",
            "country_code": "US",
            "telephone_number": "914-400-7566",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 Bronx River Rd",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107043446",
            "country_code": "US",
            "telephone_number": "914-452-0493",
            "fax_number": "914-221-0071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "PHILLIP",
        "middle_name": "MICHAEL JOHN",
        "credential": "NYCPS-P-3522",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-14",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NY",
            "license": "CRPA-3588",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NY",
            "license": "NYCPS-P-3522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED RECOVERY PEER ADVOCATE",
            "identifier": "CRPA-3588",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED PEER SPECIALIST",
            "identifier": "NYCPS-P-3522",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHILLIP",
            "last_name": "FLEMING",
            "middle_name": "MICHAEL JOHN",
            "prefix": "DR.",
            "credential": "HON. D. DIV.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Geneva, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.