PHOENIX BEHAVIORAL HEALTH LLC (NPI# 1073070900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073070900 |
| Entity Type | Organization |
| Organization Name | PHOENIX BEHAVIORAL HEALTH LLC |
| Practice Address |
102 Browning Ln Ste C3 Cherry Hill NJ 08003-3195 |
| Mailing Address |
1014 Whitehead Road Ext Ewing NJ 08638-2406 |
| Practice Telephone | 6097713777 |
| Mailing Telephone | 7322393414 |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |
| Authorized Official Name | PHIL FUHRER (CFO) |
| Authorized Official Telephone | 6097713777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764354 | Phoenix Behavioral Health LLC | Clinic/Center | 102 Browning Ln Ste 2, Cherry Hill, NJ 08003-3195 | 2020-09-09 |
| 1144787078 | Phoenix Behavioral Health LLC | Clinic/Center | 102 Browning Ln Ste C3, Cherry Hill, NJ 08003-3195 | 2019-02-27 |
| 1275938193 | Phoenix Behavioral Health LLC | Clinic/Center | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2014-11-04 |
| 1992267132 | Phoenix Behavioral Health LLC | Clinic/Center | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2019-04-05 |
| 1528561933 | Phoenix Behavioral Health LLC | In Home Supportive Care | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2018-03-12 |
| 1750891990 | Phoenix Behavioral Health LLC | Pediatrics | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2017-10-02 |
| 1013427251 | Phoenix Behavioral Health LLC | Clinic/Center | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2017-10-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PHOENIX BEHAVIORAL HEALTH LLC | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 |
| Virginia Business Entities | Phoenix Behavioral Health LLC | 6504 Woodlake Village Circle, Midlothian, Virginia 23112 |
| Street Address |
102 BROWNING LN STE C3 |
| City | CHERRY HILL |
| State | NJ |
| Zip Code | 08003-3195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144787078 | Phoenix Behavioral Health LLC | Clinic/Center | 102 Browning Ln Ste C3, Cherry Hill, NJ 08003-3195 | 2019-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528695483 | Yvonne Lee | Registered Nurse | Nbn Group, 2 Pin Oak Lane, Suite 250, Cherry Hill, NJ 08003 | 2020-03-23 |
| 1639717945 | Nancy Sue Epstein | Occupational Therapist | 1817 E. Fireside Court -tools for Healing LLC, Cherry Hill, NJ 08003 | 2019-12-17 |
| 1346885126 | Martin Igoe | Nurse Practitioner | 1865 Rt 70 East, Cherry Hill, NJ 08003 | 2019-11-15 |
| 1881242840 | Emily Lott | Nurse Practitioner | 1865 Rte 70 E, Cherry Hill, NJ 08003 | 2019-09-03 |
| 1417502378 | Periodontal Consultants, Pa | Dentist | 1910 East Marlton Pike, The Atrium Suite #2, Cherry Hill, NJ 08003 | 2019-08-07 |
| 1497229439 | Laura Marozzi | Lactation Consultant, Non-RN | 7 Summer Pl, Cherry Hill, NJ 08003 | 2019-01-12 |
| 1104328319 | Amanda Butto | Counselor | 1930 Marlton Pike E Ste T, Cherry Hill, NJ 08003 | 2018-03-03 |
| 1073043857 | Sara Cox | Behavioral Analyst | 425 Old Orchard Road, Cherry Hill, NJ 08003 | 2017-06-14 |
| 1912433731 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 527 Balsam Rd, Cherry Hill, NJ 08003 | 2017-05-11 |
| 1366978181 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 102 Evans Lane, Cherry Hill, NJ 08003 | 2017-05-11 |
| Find all providers in zip 08003 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764354 | Phoenix Behavioral Health LLC | Clinic/Center | 102 Browning Ln Ste 2, Cherry Hill, NJ 08003-3195 | 2020-09-09 |
| 1134636582 | Life of Purpose Nj, LLC | Clinic/Center | 2 Executive Campus 2370 Nj-70, Cherry Hill, NJ 08002-4102 | 2018-01-08 |
| 1295223147 | Pacific Light Recovery Center | Clinic/Center | 811 Church Rd, Cherry Hill, NJ 08002-1412 | 2018-04-26 |
| 1841430337 | The Foundation for Family Guidance | Clinic/Center | 1871 Route 70 E, Suite 202, Cherry Hill, NJ 08003-2020 | 2009-02-24 |
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| 1558905380 | Grace Community Development Center | Clinic/Center | 100 Melville Ln, Willingboro, NJ 08046-2912 | 2019-11-05 |
| 1740822121 | The Empowerment House, Non Profit Inc. | Clinic/Center | 1314 S Clinton Ave, Trenton, NJ 08611-1436 | 2019-10-17 |
| 1265088892 | Absolute Awakenings Treatment Center LLC | Clinic/Center | 3000 Route 10 West, Denville, NJ 07834 | 2019-08-09 |
| 1326607243 | Recovery Zone Solutions, LLC | Clinic/Center | 124 East Main Street, Ste#109, Denville, NJ 07834 | 2019-06-13 |
| 1720644800 | Ars Treatment Centers of New Jersey, PC | Clinic/Center | 4 Murray Grove Ln, Lanoka Harbor, NJ 08734-2837 | 2019-05-14 |
| 1184182230 | Turning Point, Inc. | Clinic/Center | 101 Prospect St Ste 210, Lakewood, NJ 08701-5003 | 2019-03-07 |
| 1811460165 | Eva's Village, Inc. | Clinic/Center | 20 Jackson Street, Paterson, NJ 07501-2815 | 2019-01-09 |
| Find all providers with the same taxonomy | ||||
| City | CHERRY HILL |
| Zip Code | 08003 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.