PHOENIX HOUSE (NPI# 1982929592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982929592 |
| Entity Type | Organization |
| Organization Name | PHOENIX HOUSE |
| Practice Address |
15 Mulberry St Springfield MA 01105-1433 |
| Practice Telephone | 4137392440 |
| Practice Fax Number | 4137391087 |
| Mailing Telephone | 4137392440 |
| Mailing Fax Number | 4137391087 |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2010-04-07 |
| Authorized Official Name | MRS. SHOREY ELIZABETH RAYMOND (SENIOR COUNSELOR) |
| Authorized Official Telephone | 4137392440 |
| Authorized Official Credential | M. ED. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care 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 |
| 1497164818 | Phoenix House | Residential Treatment Facility, Emotionally Disturbed Children | 200 N Glebe Rd, Arlington, VA 22203-3728 | 2014-08-11 |
| 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 |
15 MULBERRY ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01105-1433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730389719 | Karin G. Lapointe | Counselor | 15 Mulberry St, Springfield, MA 01105-1433 | 2007-07-19 |
| 1285005835 | Carolyn Cotter | Counselor | 15 Mulberry St, Springfield, MA 01105-1433 | 2015-10-08 |
| 1467857888 | Pamela Boone | Counselor | 15 Mulberry St, Springfield, MA 01105-1433 | 2014-10-28 |
| 1184059271 | Wanda Renee' Ladson | Counselor | 15 Mulberry St, Springfield, MA 01105-1433 | 2013-09-07 |
| 1356680946 | Andrew Lawlor | Counselor | 15 Mulberry St, Springfield, MA 01105-1433 | 2013-02-03 |
| 1730430448 | Tyena Whitley | Counselor | 15 Mulberry St, Springfield, MA 01105-1433 | 2012-09-21 |
| 1083963409 | Ryan Roulston | Social Worker | 15 Mulberry St, Springfield, MA 01105-1433 | 2012-08-30 |
| 1568726305 | Catherine L Vaughan | Social Worker | 15 Mulberry St, Springfield, MA 01105-1433 | 2012-06-26 |
| 1942563887 | Amanda Mercado | Marriage & Family Therapist | 15 Mulberry St, Springfield, MA 01105-1433 | 2012-06-15 |
| 1780957472 | Katie Czupkiewicz | Counselor | 15 Mulberry St, Springfield, MA 01105-1433 | 2012-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881166551 | Rachael Ellen Buckley | Behavioral Analyst | 1 Federal Street, Stccac Technical Park, Building 101, 1 East-3, Springfield, MA 01105 | 2018-12-19 |
| 1902380017 | Choice Recovery Coaching Inc. | Peer Specialist | 155 Maple St., Suite 305, Springfield, MA 01105 | 2018-09-24 |
| 1508351107 | Breanna Wardwell | Psychologist | 110 Maple St Ste 110, Springfield, MA 01105 | 2018-06-26 |
| 1538689831 | Ruthie May Therrien | Counselor | 140 High St #230, Springfield, MA 01105 | 2017-06-27 |
| 1124483771 | Jane Danette Smith | Counselor | 15 Mulberry Street, Phoenix House, Springfield, MA 01105 | 2015-12-28 |
| 1043682008 | Nancy Hernandez | Social Worker | 140 High Street Suite 230, South Bay Mental Health Springfield Clinic, Springfield, MA 01105 | 2015-10-29 |
| 1205204567 | Yarelis Aquino | Social Worker | 511 Eastt Columbus Ave, Springfield, MA 01105 | 2015-09-03 |
| 1417376419 | Wanda I Perez | Student in an Organized Health Care Education/Training Program | 367 Pine Street, Springfield, MA 01105 | 2014-04-08 |
| 1275968778 | Elizabeth Catherine Grey | Social Worker | 155 Maple St Ste 304, Springfield, MA 01105 | 2013-09-04 |
| 1891033148 | Carol Ouellette | Counselor | 511 East Columbus Avenue, Springfield, MA 01105 | 2013-01-22 |
| Find all providers in zip 01105 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1720640642 | Family Guidance Centers, Inc. | Clinic/Center | 2924 Stanton St, Springfield, IL 62703-4315 | 2019-07-01 |
| 1164954947 | Contemporary Therapeutics LLC | Clinic/Center | 4867 Urbana Rd, Springfield, OH 45502-9815 | 2017-03-30 |
| 1669926374 | Rocking Horse Children's Health Center | Clinic/Center | 120 W Mulberry St, Springfield, OH 45506-1666 | 2016-08-10 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01105 |
Please comment or provide details below to improve the information on PHOENIX HOUSE.
| 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.