National Provider Identifier

Phillip Michael John Fleming, NYCPS-P-3522

Phillip Michael John Fleming, NYCPS-P-3522 is listed in the NPPES registry with a primary specialty of Peer Specialist in Geneva, NY and a listed phone number of (315) 878-3877.

NPI 1285411991Geneva, NYPeer Specialist

Source: public NPPES record, last updated October 24, 2024. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1285411991
Provider Type
Individual
Primary Specialty
Peer Specialist
Enumeration Date
September 14, 2023
Last Updated
October 24, 2024

Practice Location

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

Phone: (315) 878-3877

Mailing Address

  • 500 Pulteney St Apt 22
  • Geneva, NY 14456-3143

Specialties

  • Peer Specialist (175T00000X)
  • Peer Specialist (175T00000X)

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Biography

Phillip Fleming is a New York State-Certified Peer Specialist (provisional) with 16 years of peer-support and advocacy experience, including work as Chief Administrative Officer and Director of Peer Support Services at Mindful Living LCSW. His professional background also includes Level I Emotionally Focused Individual Therapy training and NYSED Level I teaching-assistant certification, and he works with Geneva High School according to his Association of Black Psychologists profile. Fleming has also been active in the Fountain House community; the organization’s FY2023 annual report noted that he was welcomed to its Board of Directors.

Full Record
NPI
1285411991
Entity Type
Individual
Last Name
Fleming
First Name
Phillip
Middle Name
Michael John
Credential
NYCPS-P-3522
Provider Other Last Name
Fleming
Provider Other First Name
Phillip
Provider Other Middle Name
Michael John
Provider Other Name Prefix Text
Dr.
Provider Other Credential Text
HON.D.DIV.
Provider Other Last Name Type Code
2
Mailing Street Address
500 Pulteney St Apt 22
Mailing City
Geneva
Mailing State
NY
Mailing ZIP Code
14456-3143
Mailing Country
US
Mailing Phone
(315) 878-3788
Practice Street Address
500 Pulteney Street
Practice Address Line 2
Apt. 22
Practice City
Geneva
Practice State
NY
Practice ZIP Code
14456-3143
Practice Country
US
Practice Phone
(315) 878-3877
Enumeration Date
September 14, 2023
Last Updated
October 24, 2024
Sex
Male
Sole Proprietor
No
Certification Date
October 24, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Peer Specialist (175T00000X), Peer Specialist (175T00000X)
Other Identifiers
CRPA-3588 (NY, Certified Recovery Peer Advocate), NYCPS-P-3522 (NY, Certified Peer Specialist)