PHOENIX HOUSE FOUNDATION, INC. (NPI# 1639247653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639247653 |
| Entity Type | Organization |
| Organization Name | PHOENIX HOUSE FOUNDATION, INC. |
| Practice Address |
164 W 74th St New York NY 10023-2301 |
| Mailing Address |
50 Jay St 3rs Fl Brooklyn NY 11201-1144 |
| Practice Telephone | 7182226600 |
| Practice Fax Number | 7185762866 |
| Mailing Telephone | 7182226600 |
| Mailing Fax Number | 7185762866 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KEVIN KIRCHOFF (SR. VICE PRESIDENT, CFO) |
| Authorized Official Telephone | 2125955810 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
7002298R | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00371673 | 05 |
| Street Address |
164 W 74TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10023-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134297153 | Phoenix Houses of New York, Inc. | Substance Abuse Rehabilitation Facility | 164 W 74th St, New York, NY 10023-2301 | 2006-11-30 |
| 1700291523 | Emily Miranda Patulski | Social Worker | 164 W 74th St, New York, NY 10023-2301 | 2014-07-01 |
| 1013255769 | Phoenix House Foundation | Clinic/Center | 164 W 74th St, New York, NY 10023-2301 | 2013-01-30 |
| 1972837763 | Ashley Baglieri | Social Worker | 164 W 74th St, New York, NY 10023-2301 | 2009-09-25 |
| 1023261328 | Tessa A Vining | Social Worker | 164 W 74th St, New York, NY 10023-2301 | 2008-10-30 |
| 1679729206 | Jessica Ann Knoll | Counselor | 164 W 74th St, 3rd Floor, New York, NY 10023-2301 | 2008-08-14 |
| 1952502486 | Mitchell S. Rosenthal | Psychiatry & Neurology | 164 W 74th St, New York, NY 10023-2301 | 2007-05-31 |
| 1629139654 | Christopher Stephens Randolph | Internal Medicine | 164 W 74th St, New York, NY 10023-2301 | 2006-12-13 |
| 1245391911 | Bette B Lyons | Registered Nurse | 164 W 74th St, New York, NY 10023-2301 | 2006-12-13 |
| 1275694507 | Barbara S. Goldberg | Registered Nurse | 164 W 74th St, New York, NY 10023-2301 | 2006-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396353215 | Marian Lisa Stern | Psychologist | 6 West 74th Street, Ny, NY 10023 | 2020-07-16 |
| 1720605652 | Elizabeth Bentley | Social Worker | Institute of Contemporary Psychotherapy, 33 W 60th St. 4th Floor New York, New York, NY 10023 | 2020-06-26 |
| 1164058236 | Dawn Fitzgerald | Registered Nurse | 315 West 70th Street, Suite 1b, New York, NY 10023 | 2020-03-20 |
| 1841849817 | David Charles Tannenbaum | Social Worker | 10 West 74th 1b, Nyc, NY 10023 | 2019-09-11 |
| 1447811211 | United Social Services of The Society for Ethical Culture, Inc. | Community/Behavioral Health | 2 West 64th St., Room 505, New York, NY 10023 | 2019-06-24 |
| 1043875198 | Linda M Stolarz | Social Worker | 140 W 71st, Apt 3 E, New York, NY 10023 | 2019-05-03 |
| 1336609825 | Laurie Faye Schwartz | Counselor | 20 W 64 St, Apt 21a, New York, NY 10023 | 2019-03-21 |
| 1891252706 | Marcia Hochman | Social Worker | The Hallowell Center, 117 West 72nd St. 3rd Floor, Ny, NY 10023 | 2019-02-27 |
| 1629545843 | Roni-sue Allen | Marriage & Family Therapist | 1841 Broadway Suite 325, New York, NY 10023 | 2018-10-25 |
| 1346757291 | Jang Sook Min | Acupuncturist | 134 W 72nd St, New York, NY 10023 | 2018-01-01 |
| Find all providers in zip 10023 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831718196 | Critical Care Medicine Services - New York, P.C. | Clinic/Center | 747 3rd Ave Ste 28b, New York, NY 10017-2803 | 2020-04-15 |
| 1336799295 | Wellness Medical Services of Manhattan PC | Clinic/Center | 51 E 25th St Ste 499, New York, NY 10010-2945 | 2019-09-12 |
| 1174089056 | City Medical of Upper East Side, Pllc | Clinic/Center | 216 E 14th St Ste B, New York, NY 10003-4105 | 2019-02-15 |
| 1093282329 | The Medical Offices of Occupational Health Resources P C | Clinic/Center | 500 W 33rd St, New York, NY 10001-1301 | 2018-10-24 |
| 1134615016 | City Integrative Medicine PC | Clinic/Center | 56 W 45th St Fl 8, New York, NY 10036-4215 | 2018-07-03 |
| 1659878312 | Medical Offices of Occupational Health Resources P C | Clinic/Center | 175 Greenwich St, 3 World Trade Center, New York, NY 10007-9998 | 2018-04-10 |
| 1609375344 | Iheart Health and Wellness | Clinic/Center | 131 W 33rd St Fl 14, New York, NY 10001-2938 | 2018-02-08 |
| 1447758610 | Medical Offices of Occupational Health Resources P C | Clinic/Center | 55 E 52nd St, New York, NY 10055-0002 | 2018-01-23 |
| 1952834343 | Sheltering Arms Children and Family Services, Inc. | Clinic/Center | 305 7th Ave Fl 4, New York, NY 10001-6280 | 2017-04-04 |
| 1184164113 | Medical Offices of Occupational Health Resources P C | Clinic/Center | 230 Park Ave S, New York, NY 10003-1528 | 2017-02-23 |
| Find all providers in NEW YORK | ||||
Please comment or provide details below to improve the information on PHOENIX HOUSE FOUNDATION, INC..
| 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.