Philip Aaron Schechter, MD

Individual provider Active NPI Psychiatry Physician · Crestone, CO

NPI 1801003355 · NPPES record last updated Jan 24, 2025

Key facts

NPI
1801003355
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
20284 (CO)
Practice address
1534 Centennial Overlook
Crestone, CO 81131-0580
Phone
(719) 256-6789
Fax
(719) 256-6788
NPI assigned
May 16, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20284COMDTrauma Surgery Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 20284 CO
Surgery Physician 208600000X 20284 CO
Surgical Critical Care Physician 2086S0102X 20284 CO
Trauma Surgery Physician 2086S0127X 20284 CO
Psychiatry Physician 2084P0800X 20284 CO Yes

Addresses

Primary practice location

1534 Centennial Overlook
Crestone, CO 81131-0580

Mailing address

PO Box 580
Crestone, CO 81131-0580
Phone (303) 809-6217

Other identifiers

IdentifierTypeStateIssuer
20284OtherCOMEDICAL LICENSE

Other providers in Crestone, CO

All providers in Crestone, CO · Psychiatry Physician in Colorado

Sources for this page

Verify at the official NPI Registry.