Phyllis Mabbett, PHD

Individual provider Active NPI Addiction (Substance Use Disorder) Psychologist · Lake City, CO

NPI 1922472059 · NPPES record last updated Dec 1, 2015

Key facts

NPI
1922472059
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Psychologist 103TA0400X
Practice address
860 Co Rd 142
Lake City, CO 81235
Phone
(970) 944-2246
Fax
(970) 944-2477
NPI assigned
Dec 1, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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

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 Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Treatment Partners Current Accepting new patients
Bradley a. Eli Dental Corporation Current Accepting new patients
The Texan Recovery Past Accepting new patients
Texan Resort Recovery LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X Yes

Addresses

Primary practice location

860 Co Rd 142
Lake City, CO 81235

Mailing address

1968 Circle Park LN
Encinitas, CA 92024-1928

Other providers in Lake City, CO

All providers in Lake City, CO · Addiction (Substance Use Disorder) Psychologist in Colorado

Sources for this page

Verify at the official NPI Registry.