Phoenix Psychiatric Services

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

206747 Issued in MA

Legal business name

PHOENIX PSYCHIATRIC SERVICES

Practice address

101 Jeremiah Sullivan Dr
Fall River, MA 02721

Phone

(774) 644-5629

Fax

(508) 678-8100

NPI assigned

Jan 6, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Ewa M. Conroy, APRN

Title

Owner

Phone

(508) 676-5514

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1033489109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3338 N MAIN ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027201609",
            "telephone_number": "508-676-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JEREMIAH SULLIVAN DR",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "02721",
            "telephone_number": "774-644-5629",
            "fax_number": "508-678-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX PSYCHIATRIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "CONROY",
        "authorized_official_first_name": "EWA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-676-5514",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MA",
            "license": "206747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B",
            "identifier": "NP1932",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0380130",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linsey Philip, M.D.
• Brittany O'Neill Phillips, PA-C
• Tommy Phillips
• Ederdinio Philogene
• Natacha Jodelina Philogene
• Nancy Piazza
• Kerri Ann Pierce
• Marian Louise Pierce, LICSW
• Ben Pierpont
• Mika Pierre, MS

• Adult Mental Health Clinic/Center in Fall River, MA
• Providers in Fall River, MA by specialty
• Adult Mental Health Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; 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.