PHOENIX BEHAVIORAL HEALTH LLC (NPI# 1992267132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992267132 |
| Entity Type | Organization |
| Organization Name | PHOENIX BEHAVIORAL HEALTH LLC |
| Practice Address |
1014 Whitehead Road Ext Ewing NJ 08638-2406 |
| Practice Telephone | 7322393414 |
| Mailing Telephone | 7322393414 |
| Enumeration Date | 2019-04-05 |
| Last Update Date | 2019-04-05 |
| Authorized Official Name | PHIL FUHRER (CFO) |
| Authorized Official Telephone | 6097713777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764354 | Phoenix Behavioral Health LLC | Clinic/Center | 102 Browning Ln Ste 2, Cherry Hill, NJ 08003-3195 | 2020-09-09 |
| 1144787078 | Phoenix Behavioral Health LLC | Clinic/Center | 102 Browning Ln Ste C3, Cherry Hill, NJ 08003-3195 | 2019-02-27 |
| 1275938193 | Phoenix Behavioral Health LLC | Clinic/Center | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2014-11-04 |
| 1073070900 | Phoenix Behavioral Health LLC | Clinic/Center | 102 Browning Ln Ste C3, Cherry Hill, NJ 08003-3195 | 2019-02-27 |
| 1528561933 | Phoenix Behavioral Health LLC | In Home Supportive Care | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2018-03-12 |
| 1750891990 | Phoenix Behavioral Health LLC | Pediatrics | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2017-10-02 |
| 1013427251 | Phoenix Behavioral Health LLC | Clinic/Center | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2017-10-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PHOENIX BEHAVIORAL HEALTH LLC | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 |
| Virginia Business Entities | Phoenix Behavioral Health LLC | 6504 Woodlake Village Circle, Midlothian, Virginia 23112 |
| Street Address |
1014 WHITEHEAD ROAD EXT |
| City | EWING |
| State | NJ |
| Zip Code | 08638-2406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275938193 | Phoenix Behavioral Health LLC | Clinic/Center | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2014-11-04 |
| 1427611185 | Phoenix Support Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2019-04-18 |
| 1659869576 | Justin Dunn | Counselor | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2018-04-26 |
| 1316435266 | Parizatis R Alaie | Counselor | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2018-04-26 |
| 1255829263 | Alaina Chapman | Counselor | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2018-04-25 |
| 1811485824 | Himie Wesley | Counselor | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2018-04-25 |
| 1881182897 | Francesca Scirocco | Counselor | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2018-04-25 |
| 1386132397 | Gabrielle Petosa | Counselor | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2018-04-25 |
| 1356839369 | Dayna Giel | Counselor | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2018-04-25 |
| 1144718156 | Crystal Washington | Counselor | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2018-04-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114493244 | Dungarvin New Jersey, LLC - Whitehead II | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1015 Whitehead Road Extension, Apt 209 & 217, Ewing, NJ 08638 | 2018-10-16 |
| 1285145714 | Lifeties Inc. | Social Worker | 2205 Pennington Road, Trenton, NJ 08638 | 2017-10-24 |
| 1720502792 | Rola Behavioral Services LLC | Registered Nurse | 1676 North Olden Ave, Bldg 1, Ewing, NJ 08638 | 2017-08-01 |
| 1295264562 | Ijeoma Audrey Okpara | Behavior Technician | 67 Oak Street, Trenton, NJ 08638 | 2017-06-08 |
| 1962878736 | Meals On Wheels of Mercer County, Inc. | Home Delivered Meals | 320 Hollowbrook Drive, Ewing, NJ 08638 | 2015-08-17 |
| 1770917031 | Erica Jane Mclaughlin | Physician Assistant | 750 Bruinswick Ave, Trenton, NJ 08638 | 2013-08-22 |
| 1396013975 | Capital Health | General Acute Care Hospital | 832 Brunswick Ave., Trenton, NJ 08638 | 2011-12-09 |
| 1174800197 | Kashif Syed Anwar | Family Medicine | 1450 Parkside Ave Ste 5, Ewing, NJ 08638 | 2011-11-04 |
| 1235394578 | Neuromechanical Pain Management Associates PC | Chiropractor | 1330 Calhoun Street, Suite 2, Trenton, NJ 08638 | 2008-07-25 |
| 1861684185 | Youth Education and Transition Services | Counselor | 702 Brunswick Ave, Trenton, NJ 08638 | 2007-08-10 |
| Find all providers in zip 08638 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
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| 1366997942 | Comprehensive Medical Associates of New Jersey PC | Clinic/Center | 301 Sullivan Way, Ewing, NJ 08628-3406 | 2016-08-24 |
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| 1063057024 | Hackensack Meridian Nutrition | Clinic/Center | 27 S Cooks Bridge Rd Ste 1-03, Jackson, NJ 08527-2460 | 2019-11-14 |
| 1053960211 | Dua Medical Nj, P.C. | Clinic/Center | 162 Elmora Avenue, Suite 304, Elizabeth, NJ 07202-1148 | 2019-09-10 |
| 1407409360 | Mordecai & Caravello Wellness, LLC | Clinic/Center | 1401 Marlton Pike E Ste 14, Cherry Hill, NJ 08034-2207 | 2019-07-19 |
| 1942767066 | Carerivet Medical Services LLC | Clinic/Center | 26 University Place Blvd, 1st Floor, Jersey City, NJ 07305 | 2019-02-25 |
| 1275097255 | Health Check of Nj LLC | Clinic/Center | 160 Lanza Ave Ste 8, Garfield, NJ 07026-3551 | 2019-01-24 |
| 1164996591 | Comprehensive Medical Associates of New Jersey P C | Clinic/Center | 1000 Harbor Blvd, Weehawken, NJ 07086-6761 | 2019-01-18 |
| 1578036968 | Acupuncture Eden & Wellness Center | Clinic/Center | 221 Sherman Ave Ste A, Berkeley Heights, NJ 07922-1173 | 2019-01-08 |
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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.