MR. PHILLIP ADAM MORA JR. CPSW
NPI 1639770639
Peer Specialist in Albuquerque, NM

NPI Status: Active since November 05, 2020

Contact Information

933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM
ZIP 87106
Phone: (505) 544-6265

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  • Individual
  • Male
  • Peer Specialist

About PHILLIP MORA

This page provides the complete NPI Profile along with additional information for Phillip Mora, a provider established in Albuquerque, New Mexico with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1639770639 assigned on November 2020. The practitioner's primary taxonomy code is 175T00000X with license number 1077 (NM). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1639770639
Provider Name
MR. PHILLIP ADAM MORA JR. CPSW
Gender
Male
Entity Type
Individual
Location Address
933 BRADBURY DR SE STE 2222 ALBUQUERQUE, NM 87106
Location Phone
(505) 544-6265
Mailing Address
933 BRADBURY DR SE STE 2222 ALBUQUERQUE, NM 87106
Mailing Phone
(505) 544-6265
Is Sole Proprietor?
No
Enumeration Date
11-05-2020
Last Update Date
11-09-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Peer Specialist

Taxonomy Code
175T00000X
Type
Other Service Providers
License No.
1077
License State
NM
Taxonomy Description
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1171M00000XOther Service Providers

Case Manager/Care Coordinator

 
2175T00000XOther Service Providers

Peer Specialist

 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639770639
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669147066
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 4 + 7 + 0 + 6 + 6 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1639770639 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1508845751DR. SEPEHR KHASHAEI MD
Individual
Internal Medicine933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106
(505) 272-3120
1205027166 EDITH J QUINTANA MS, SLP-CCC
Individual
Speech-Language Pathologist933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106
(505) 272-5106
1740472356MS. JUDY L. MADEWELL M. A., L.P.C.C.
Individual
Counselor (Mental Health)933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106
(505) 272-3120
1134362155DR. MARC T MONTANARO MD
Individual
Internal Medicine933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106
(505) 272-6225
1083885974 KELLY D DILLON PHARM D
Individual
Pharmacist933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106
(505) 272-3120
1811987100DR. RITA ROSALIE S. ONGJOCO DO
Individual
Pediatrics (Pediatric Critical Care Medicine)933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106
(505) 272-3120
1851715437 REBECCA VAUGHAN
Individual
Nurse Practitioner (Pediatrics)933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106
(505) 272-3120
1588794564 LAURIE MORELAND DULA ARNP
Individual
Nurse Practitioner (Family)933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106
(505) 272-3120
1689643090 TIMOTHY C BRAY DO
Individual
Internal Medicine933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106
(505) 272-3303
1275769424MS. RACHAEL K GEDION MED; LPCC
Individual
Counselor (Professional)933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106
(505) 404-0717
1902966815 JAMES F. BEECHER LPCC
Individual
Counselor (Professional)933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106
(505) 272-3303
1922486075DR. LANDON VINSON MD
Individual
Emergency Medicine933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106
(505) 272-3120
1528006806 NEAL E RAKOV MD
Individual
Internal Medicine (Gastroenterology)933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106
(505) 272-3120
1578960779MRS. CHRISTINE LOIDOLT LPCC, LSAA
Individual
Counselor (Mental Health)933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106
(505) 925-7610
1447252606 CATHERINE OBOJSKI CRNA
Individual
Nurse Anesthetist, Certified Registered933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106
(505) 272-1111
1801803853 JOHN CARL SANDERS MD
Individual
Anesthesiology933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106
(505) 272-1111
1184854663 RAHUL SHEKHAR MD
Individual
Internal Medicine933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106
(573) 815-8000
1629420161MRS. JENNIFER GONZALES LCSW
Individual
Social Worker (Clinical)933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106
(505) 272-3303
1457969586MR. UGUR BARUT RN
Individual
Registered Nurse933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106
(505) 272-3120
1972744654 DIANE DECILLIS JOHNSTON APRN
Individual
Nurse Practitioner (Psychiatric/Mental Health)933 BRADBURY DR SE STE 2222
ALBUQUERQUE, NM 87106
(505) 365-2146

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639770639, enumerated in the NPI registry as an "individual" on November 05, 2020

The provider is located at 933 Bradbury Dr Se Ste 2222 Albuquerque, Nm 87106 and the phone number is (505) 544-6265

The provider's speciality is Peer Specialist with taxonomy code 175T00000X

This NPI record was last updated on November 05, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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