Ms Phyllis Pine, - Psychologist in Gallup, NM

Ms Phyllis Pine, is a Psychologist - School based in Gallup, New Mexico. Ms Phyllis Pine is licensed to practice in New Mexico (license number 257139) and her current practice location is 1000 E Aztec Ave, Gallup, New Mexico. She can be reached at her office (for appointments etc.) via phone at (505) 721-1800.

NPI number for Ms Phyllis Pine is 1417174848 and her current mailing address is 222 Nizhoni Blvd Apt E4, Gallup, New Mexico. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417174848.

Contact Information

Ms Phyllis Pine,
1000 E Aztec Ave,
Gallup, NM 87301-5509
(505) 721-1800
Not Available



Healthcare Provider's Profile

Full NameMs Phyllis Pine
GenderFemale
SpecialityPsychologist - School
Location1000 E Aztec Ave, Gallup, New Mexico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417174848
  • Provider Enumeration Date: 04/19/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Ms Phyllis Pine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417174848NPI-NPPES
47809876MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TS0200XPsychologist - School 257139 (New Mexico)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Phyllis Pine is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Phyllis Pine,
222 Nizhoni Blvd Apt E4,
Gallup, NM 87301-5764

Ph: (505) 793-2727
Ms Phyllis Pine,
1000 E Aztec Ave,
Gallup, NM 87301-5509

Ph: (505) 721-1800

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› Verified 3 days ago


Psychologist in Gallup, NM

Belinda Cross, MS, NCSP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1000 E Aztec Ave, Gallup, NM 87301
Phone: 505-721-1828    
Sharna J Sutherin, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301
Phone: 505-722-1000    Fax: 505-722-1396
Mary Lindenmeyer, LPCC
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1000 E Aztec Ave, P. O. 1318, Gallup, NM 87301
Phone: 505-722-4101    
Dr. Marita Delaney, PH.D.
Psychologist
Medicare: Medicare Enrolled
Practice Location: 2025 E Aztec Ave, Gallup, NM 87301
Phone: 505-863-3828    
Matthew Dennis Jones, PHD
Psychologist
Medicare: Medicare Enrolled
Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301
Phone: 505-722-1000    Fax: 505-722-1396
Dr. Mary S Loescher, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1000 E Aztec Ave, Gallup, NM 87301
Phone: 505-721-1800    

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