PHOENIX BEHAVIORAL HEALTH LLC (NPI# 1144787078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144787078 |
| 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 | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
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 |
| 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 |
| 1073070900 | Phoenix Behavioral Health LLC | Clinic/Center | 102 Browning Ln Ste C3, Cherry Hill, NJ 08003-3195 | 2019-02-27 |
| 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 |
|---|---|---|---|---|
| 1073070900 | 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 | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528271475 | Arnold D. Goldman,m.d.,p.a. | Clinic/Center | 1020 Kings Hwy N, 205, Cherry Hill, NJ 08034-1906 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443650 | Quantum Behavioral Health Services LLC | Clinic/Center | 144 Mill St, Toms River, NJ 08757-5156 | 2020-10-08 |
| 1811515042 | Michelle Kerekes Lpc | Clinic/Center | 623 River Rd Ste 1, Fair Haven, NJ 07704-3267 | 2020-07-14 |
| 1962025601 | E Keeney LLC | Clinic/Center | 43 Lakeview Dr, West Milford, NJ 07480-4279 | 2020-05-28 |
| 1407470149 | Schnabolk Lcsw | Clinic/Center | 385 State Route 24 Ste 3m, Chester, NJ 07930-2910 | 2020-05-28 |
| 1871114413 | Odyssey Mental Health and Addiction Center, LLC | Clinic/Center | 35 Journal Sq Ste 629d, Jersey City, NJ 07306-4029 | 2020-05-06 |
| 1992331102 | Nancy Difrancesco LLC | Clinic/Center | 6 White Horse Pike Ste 2a, Haddon Heights, NJ 08035-1246 | 2020-03-19 |
| 1497393789 | Harmony Wellness Counseling Center | Clinic/Center | 190 Nassau St, Princeton, NJ 08542-7012 | 2019-12-17 |
| 1649825944 | Green Oak Professional Health Services | Clinic/Center | 120 Millburn Ave Ste 201, Millburn, NJ 07041-1935 | 2019-08-05 |
| 1083276836 | Hopefull Therapy and Consulting LLC | Clinic/Center | 145 Witherspoon St Ste A4, Princeton, NJ 08542-3228 | 2019-07-02 |
| 1295297372 | Paper and Pencil Bookkeeping | Clinic/Center | 3 Warren Dr, Morristown, NJ 07960-4712 | 2019-04-05 |
| 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.