PHOENIX BEHAVIORAL CENTER,LLC (NPI# 1275921066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275921066 |
| Entity Type | Organization |
| Organization Name | PHOENIX BEHAVIORAL CENTER,LLC |
| Practice Address |
1003 The Ter Hagerstown MD 21742-3227 |
| Mailing Address |
101 King St Hagerstown MD 21740-5732 |
| Practice Telephone | 2404200000 |
| Practice Fax Number | 2404200002 |
| Mailing Telephone | 2404200000 |
| Mailing Fax Number | 2404200002 |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2014-12-31 |
| Authorized Official Name | DR. JOY RAMSAY FARAH (CHIEF MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2404200000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
1003 THE TER |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21742-3227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
| 1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
| 1760988950 | Kelli Jones | Nurse Anesthetist, Certified Registered | 11116 Medical Center, Hagerstown, MD 21742 | 2018-04-05 |
| 1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
| 1407387384 | Cynthia Brendle | Physical Therapy Assistant | 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 | 2017-03-23 |
| 1326411877 | Structural Elements, LLC | Acupuncturist | 13214 Fountainhead Plaza, Hagerstown, MD 21742 | 2015-11-05 |
| 1386057396 | Ma Pamela Borden | Occupational Therapist | 506 Lynnehaven Drive, Apartment G, Hagerstown, MD 21742 | 2014-06-06 |
| 1275971251 | Arti Babubhai Patel | Denturist | 13133 Gentry Drive, Hagerstown, MD 21742 | 2013-06-12 |
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| 1386938363 | Rocky Mountain Holdings LLC | Ambulance | 18539 Henson Blvd, Hagerstown, MD 21742 | 2011-06-07 |
| Find all providers in zip 21742 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487145736 | Julie Fleagle | Counselor | 5 Public Sq Ste 428, Hagerstown, MD 21740-5528 | 2018-05-22 |
| 1316343528 | Hope Through Birth | Counselor | 1121 Lindsay Ln, Hagerstown, MD 21742-4618 | 2014-11-15 |
| 1942412556 | Qualitycare Internet, LLP | Counselor | 201 N Burhans Blvd, Hagerstown, MD 21740-4677 | 2007-05-04 |
| 1942631262 | Marie Holden | Counselor | 1302 Pennsylvania Ave, 750 Hospital Way, Hagerstown, MD 21742-3108 | 2013-12-12 |
| 1801068804 | Paul Hadfield | Counselor | 228 E Washington St, Hagerstown, MD 21740-5721 | 2008-03-31 |
| 1497927917 | Amy L Saydoff | Counselor | 228 E Washington St, Hagerstown, MD 21740-5721 | 2008-03-25 |
| 1609915495 | Patrick Joseph Graveline | Counselor | 10435 Downsville Pike, Hagerstown, MD 21740-1732 | 2007-02-06 |
| 1174603815 | Gerry Lee Mccarney | Counselor | 1180 Professional Ct, Hagerstown, MD 21740-5852 | 2006-10-17 |
| 1497711303 | Melody Green | Counselor | 201 Prospect Ave, Suite 405, Hagerstown, MD 21742-3204 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104426519 | Elvis Sobo | Counselor | 4203 58th Ave Apt 7, Bladensburg, MD 20710-1911 | 2020-10-27 |
| 1285232066 | Philip B Terry-smith | Counselor | 8419 Shillelagh Dr, Severn, MD 21144-3141 | 2020-10-13 |
| 1861099863 | Paraklete Consulting, LLC | Counselor | 20870 Old York Rd, Parkton, MD 21120-9137 | 2020-10-03 |
| 1699381467 | Monique Gaston | Counselor | Well Life Counseling and Consulting, 9649 Belair Road, Ste. 104, Nottingham, MD 21236 | 2020-09-17 |
| 1003422023 | Cecelia A. Rubertone | Counselor | 9813 Gartrell Pl, Kensington, MD 20895-3743 | 2020-09-16 |
| 1003422072 | True Balance Counseling Collective | Counselor | 1602 Providence Rd, Towson, MD 21286-1525 | 2020-09-16 |
| 1104430453 | Rita Prisca Nzuwah | Counselor | 7628 S Arbory Ln, Laurel, MD 20707-5534 | 2020-09-03 |
| 1649883836 | Frances Newton Washington | Counselor | 8924 Loughran Rd, Fort Washington, MD 20744-6780 | 2020-08-26 |
| 1265044986 | Block Counseling and Personal Wellness Strategies LLC | Counselor | 3523 Piney Woods Pl Apt G101, Laurel, MD 20724-6019 | 2020-08-24 |
| 1568074482 | Julia Patricia Sanders | Counselor | 1302 Brockton Dr, Eldersburg, MD 21784-8846 | 2020-08-21 |
| Find all providers with the same taxonomy | ||||
| City | HAGERSTOWN |
| Zip Code | 21742 |
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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.