PHOENIX HOUSE (NPI# 1497164818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497164818 |
| Entity Type | Organization |
| Organization Name | PHOENIX HOUSE |
| Practice Address |
200 N Glebe Rd Arlington VA 22203-3728 |
| Practice Telephone | 7035682925 |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2014-08-11 |
| Authorized Official Name | SARAH PURCELL GORTENBURG (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 7035682925 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | VA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023408309 | Phoenix House | Community/Behavioral Health | 5 Madison Ave, Springfield, MA 01105-1403 | 2015-01-26 |
| 1841403136 | Phoenix House | Clinic/Center | 101 Franklin St, Westerly, RI 02891-3198 | 2007-05-07 |
| 1982929592 | Phoenix House | Clinic/Center | 15 Mulberry St, Springfield, MA 01105-1433 | 2010-04-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PHOENIX HOUSE | 50 Jay St, Brooklyn, NY 11201-1144 |
| Oregon Corporations, Companies and Business Names | PHOENIX HOUSE | 675 Hughes St, Eugene, OR 97402 |
| System for Award Management (SAM) Entities | PHOENIX HOUSE APARTMENTS | 4400 Knight Rd Sw, Huntsville, AL 35801-5539 |
| New York State Corporations | PHOENIX HOUSE CAPITAL, LLC | Buffalo, New York 14223 |
| Indiana Business Entities | PHOENIX HOUSE INC | 316 First Bank Bldg, South Bend, IN 46601 |
| Virginia Business Entities | Phoenix House Mid-Atlantic Property Management Inc. | 200 N Glebe Rd Ste 104, Arlington, Virginia 22203 |
| Connecticut Business Registrations | PHOENIX HOUSE OF NEW MILFORD, LLC | 15 East St, New Milford, CT 06776 |
| Oregon Corporations, Companies and Business Names | PHOENIX HOUSE PUBLISHING, LLC | 525 14th St Ne, Salem, OR 97301 |
| System for Award Management (SAM) Entities | PHOENIX HOUSE, SEXUAL ASSAULT & DOMESTIC VIOLENCE RESOURCE CENTER, THE | 710 E Cottonwood Ln, Hobbs, NM 88242-8524 |
| System for Award Management (SAM) Entities | PHOENIX HOUSES OF FLORIDA | 510 Vonderburg Dr Ste 301, Brandon, FL 33511-6072 |
| Street Address |
200 N GLEBE RD |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22203-3728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649227521 | Sumi Sexton | Family Medicine | 200 N Glebe Rd, Ste 300, Arlington, VA 22203-3728 | 2006-05-27 |
| 1679172308 | Amber Chamberlain | Counselor | 200 N Glebe Rd, Arlington, VA 22203-3728 | 2020-10-23 |
| 1962911545 | Margaret Todd Marcey | Social Worker | 200 N Glebe Rd, Arlington, VA 22203-3728 | 2017-09-26 |
| 1972039808 | Spencer Philips | Physical Therapist | 200 N Glebe Rd, 310, Arlington, VA 22203-3728 | 2017-05-11 |
| 1366976532 | Ashley Fisher | Physical Therapy Assistant | 200 N Glebe Rd, Arlington, VA 22203-3728 | 2017-04-14 |
| 1417408550 | Jason N Steele | Counselor | 200 N Glebe Rd, Suite 250, Arlington, VA 22203-3728 | 2016-10-24 |
| 1750836094 | Sarah June Carroll | Marriage & Family Therapist | 200 N Glebe Rd, Suite 250, Arlington, VA 22203-3728 | 2016-08-16 |
| 1134577737 | Cody Meashaw | Physical Therapist | 200 N Glebe Rd, Suite 310, Arlington, VA 22203-3728 | 2016-05-25 |
| 1942691993 | Ana Graciela Ortiz | Social Worker | 200 N Glebe Rd, Suite 506, Arlington, VA 22203-3728 | 2015-02-12 |
| 1700285087 | Phoenix Houses of The Mid Atlantic, Inc. | Community/Behavioral Health | 200 N Glebe Rd, Suite 104, Arlington, VA 22203-3728 | 2014-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053923706 | Yeo Lim Kim | Registered Nurse | 816 N Oakland St, Unit 704, Arlington, VA 22203 | 2020-08-22 |
| 1174016190 | Bilal Rasool Chaudhry | Dentist | 801 N Quincy St Ste 110, Arlington, VA 22203 | 2018-06-13 |
| 1861993479 | Ballston Dental Arts, Pllc | Dentist | 900 N Taylor Street #150, Arlington, VA 22203 | 2018-02-28 |
| 1790293256 | Hawah Yahoh Conteh | Occupational Therapist | 900 North Taylor Street, Arlington, VA 22203 | 2018-01-18 |
| 1992237911 | Annyck Besso | Dietitian, Registered | 4250 Fairfax Dr Ste 600, Arlington, VA 22203 | 2017-03-29 |
| 1093267221 | Wilhelmina Dres | Physical Therapy Assistant | 3821 Wilson Blvd., Arlington, VA 22203 | 2016-11-04 |
| 1063861672 | Gentle Care Dentists | Dentist | 901 N Stuart Street, Suite 101, Arlington, VA 22203 | 2016-06-06 |
| 1235516717 | National Rehabilitation Hospital, Inc. | Physical Therapist | 3833 N. Fairfax Dr., Suite 300, Arlington, VA 22203 | 2015-05-04 |
| 1013313501 | Michelle May | Counselor | 4601 N Fairfax Dr, Suite 1200, Arlington, VA 22203 | 2014-11-10 |
| 1346685567 | Maggie Lyles | Family Medicine | 200 N Glebe Rd Ste 300, Arlington, VA 22203 | 2013-05-01 |
| Find all providers in zip 22203 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922651348 | Youth Villages, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2890 Bekemeyer Dr, Arlington, TN 38002-9522 | 2019-07-24 |
| 1831300623 | Germaine Lawrence Incorporated | Residential Treatment Facility, Emotionally Disturbed Children | 18 Claremont Ave, Arlington, MA 02476-5812 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336619667 | The Discovery School of Virginia, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 2697 Copper Mine Road, Dillwyn, VA 23936-2393 | 2018-11-29 |
| 1184102188 | Limitless Growth | Residential Treatment Facility, Emotionally Disturbed Children | 115 Reese Dr, Danville, VA 24540-1185 | 2018-08-01 |
| 1871099721 | Imagination LLC | Residential Treatment Facility, Emotionally Disturbed Children | 318 N Wilkinson Rd, Richmond, VA 23227-1631 | 2018-03-31 |
| 1245698935 | Summer House | Residential Treatment Facility, Emotionally Disturbed Children | 16056 Elderly Ln, Timberville, VA 22853-2922 | 2016-02-09 |
| 1194105346 | Tamara Doud | Residential Treatment Facility, Emotionally Disturbed Children | 165 Motoka Dr Apt 1, Newport News, VA 23602-4053 | 2015-06-03 |
| 1679953871 | Just Understanding My Priorities | Residential Treatment Facility, Emotionally Disturbed Children | 7109 Barry Rd, Alexandria, VA 22315-3408 | 2015-06-02 |
| 1538507983 | Alc Youth & Family Services, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 14200 Kentwood Forest Dr, Chester, VA 23831-8029 | 2013-06-07 |
| 1366790107 | Hamlet House Youth Services, IIi LLC | Residential Treatment Facility, Emotionally Disturbed Children | 206 Carlstone Dr, Highland Springs, VA 23075-2503 | 2012-08-28 |
| 1417214149 | Turning Point Home for Boys, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 4701 Stonehurst Dr, Woodbridge, VA 22192-5727 | 2012-04-19 |
| 1699046094 | Intercept Youth Services | Residential Treatment Facility, Emotionally Disturbed Children | 410 Adkins Rd, North Chesterfield, VA 23236-2833 | 2012-01-18 |
| Find all providers with the same taxonomy | ||||
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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.