DR. XANDER PHOENIX (NPI# 1760777999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760777999 |
| Entity Type | Individual |
| Full Name | DR. XANDER PHOENIX |
| Credential | PSY.D. |
| Practice Address |
636 Cochrans Mills Road Pittsburgh PA 15236 |
| Practice Telephone | 4123865270 |
| Mailing Telephone | 4123865270 |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2017-03-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
Behavioral Health & Social Service Providers |
| Street Address |
636 COCHRANS MILLS ROAD |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316410517 | Joint Ventures Wellness Pllc | Physical Therapist | 491 E Bruceton Rd, Suite 101, Pleasant Hills, PA 15236 | 2019-01-10 |
| 1215462429 | Smile Homecare, LLC | In Home Supportive Care | 4275 Clairton Blvd, Pittsburgh, PA 15236 | 2017-04-25 |
| 1306383922 | Dayo Navalgund Associates | Non-Pharmacy Dispensing Site | 491 E. Bruceton Rd., Suite 101, Pittsburgh, PA 15236 | 2017-01-20 |
| 1356725253 | Dayo Navalgund Associates | Durable Medical Equipment & Medical Supplies | 491 East Bruceton Rd, Suite 101, Pittsburgh, PA 15236 | 2015-07-10 |
| 1033502505 | Manpreet Kaur Sheabat | Physical Therapist | 421 Knoedler Rd, Apt 02, Pittsburgh, PA 15236 | 2015-03-09 |
| 1376956375 | Sara Dawson Bowers | Pharmacist | 403 Grace St, Pleasant Hills, PA 15236 | 2014-06-06 |
| 1740554468 | Chas Hoffmann | Student in an Organized Health Care Education/Training Program | 235 Jill Dr, Pittsburgh, PA 15236 | 2012-02-27 |
| 1457674970 | Visionworks, Inc. | Durable Medical Equipment & Medical Supplies | 639b Clairton Blvd, Pleasant Hills Borough, PA 15236 | 2010-03-11 |
| 1558697011 | A.j. Dicesaro Dc, Ltd | Chiropractor | 4500 Clairton Blvd., Pittsburgh, PA 15236 | 2009-10-19 |
| 1265672539 | Deep Waters Counseling Services | Community/Behavioral Health | 540 Delwar Road, Suite 2b, Pittsburgh, PA 15236 | 2009-02-26 |
| Find all providers in zip 15236 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215239181 | Shannon Marie Edwards | Psychologist | 37 Southern Ave, Floor 2 - Right, Pittsburgh, PA 15211-1927 | 2010-11-29 |
| 1396908380 | Robert F Coufal Phd | Psychologist | 5701 Centre Ave Ste L11, Pittsburgh, PA 15206-3787 | 2008-07-09 |
| 1386194777 | Robert F. Coufal Phd and Associates PC | Psychologist | 5701 Centre Ave, Suite L-12, Pittsburgh, PA 15206-3744 | 2016-10-10 |
| 1083830921 | Robert F Coufal | Psychologist | 5701 Centre Ave, Suite L-11, Pittsburgh, PA 15206-3744 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710447743 | Rene William Tallichet | Psychologist | 6115 Springford Dr Apt G10, Harrisburg, PA 17111-4847 | 2019-03-25 |
| 1083105498 | Stephen J Morse | Psychologist | 2301 Cherry St Apt 14b, Philadelphia, PA 19103-1064 | 2018-05-21 |
| 1518482249 | Gerald Cooke, Ph.d. & Margaret Cooke, Ph.d., P.C. | Psychologist | 4 E Germantown Pike Fl 1, Plymouth Meeting, PA 19462-1533 | 2017-08-03 |
| 1114139375 | John N Grutkowski | Psychologist | 47 South Washington St., Wilkes-barre, PA 18701-3033 | 2007-05-03 |
| 1184765125 | Stephen Miksic | Psychologist | 7 Embassy Cir, East Norriton, PA 19403-4011 | 2007-02-11 |
| 1801943469 | William F. Russell | Psychologist | 1241 Vine St, Suite 300, Philadelphia, PA 19107-1111 | 2007-01-05 |
| 1578673570 | Anna Devries Lawler | Psychologist | 260 S Broad St, Philadelphia, PA 19102-5021 | 2006-08-30 |
| 1285646000 | Guidance Associates of Pa | Psychologist | 412 Erford Rd, Camp Hill, PA 17011-1117 | 2006-08-12 |
| 1609828912 | Thomas Michael Eberle | Psychologist | 3154 Wildwood Rd Ext, Allison Park, PA 15101 | 2006-05-16 |
| 1881659563 | Robert D Strochak | Psychologist | 538 Street Rd, Suite 100, Southampton, PA 18966-3790 | 2006-04-18 |
| Find all providers with the same taxonomy | ||||
| City | PITTSBURGH |
| Zip Code | 15236 |
Please comment or provide details below to improve the information on DR. XANDER PHOENIX.
| 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.