NPIMap

Organization Active NPI

Phoenix Behavioral Health LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Cherry Hill, NJ
National Provider Identifier
1073070900
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
PHOENIX BEHAVIORAL HEALTH LLC
Practice address
102 Browning LN Ste C2
Cherry Hill, NJ 08003-3195
Phone
(609) 771-3777
NPI assigned
Feb 27, 2019
Last updated
Jun 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Authorized official

Name
Phil Fuhrer
Title
Cfo
Phone
(609) 771-3777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

102 Browning LN Ste C2
Cherry Hill, NJ 08003-3195

Mailing address

1014 Whitehead Road Ext
Ewing, NJ 08638-2406
Phone (732) 239-3414

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Behavioral Health9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

102 Browning Ln
Ste C2
Cherry Hill, NJ 08003
Phone (609) 771-3777

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1073070900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 WHITEHEAD ROAD EXT",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086382406",
            "telephone_number": "732-239-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 BROWNING LN STE C2",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080033195",
            "telephone_number": "609-771-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "FUHRER",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "609-771-3777"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.