Phoenix House Foundation

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

7002298R Issued in NY

Legal business name

PHOENIX HOUSE FOUNDATION

Practice address

164 W 74TH St
New York, NY 10023-2301

Phone

(212) 595-5810

NPI assigned

Jan 30, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Margaret Owen Walker, LMSW

Title

Social Worker

Phone

(212) 595-5810

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1013255769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 W 74TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 W 74TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100232301",
            "telephone_number": "212-595-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HOUSE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "OWEN",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "212-595-5810",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NY",
            "license": "7002298R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emmet Francis Phipps, FNP
• Kelli Phipps, PHARMD
• Meaghan McKenzie Phipps, M.D.
• Michelle Petura Phipps, LMSW
• Veronica Phipps
• Phoenix House Foundation, Inc.
• Phoenix Houses of New York, Inc.
• Phoenix Marriage & Family Therapy PLLC
• Phoenix Psychological Services, P.C.
• Phoenixcare Acupuncture & Physical Therapy PC

• Adult Mental Health Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Adult Mental Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.