Phoenix Center, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PHOENIX CENTER, LLC

Practice address

3915 Golden Valley Rd
Minneapolis, MN 55422-4249

Phone

(651) 287-8781

Fax

(651) 287-8782

NPI assigned

Apr 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Aj Burton

Title

Business Manager

Phone

(651) 287-8781

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Matthew R Monsein, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Minneapolis, MN
  • NPI 1336103951
  NPD (past)
• Jay Francis Tracy, PA-C, PSYD, LP

  • Physician Assistant
  • Golden Valley, MN
  • NPI 1942260476
  NPD (past)

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073737813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 SAINT PETER ST",
            "address_2": "SUITE 220",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551021001",
            "telephone_number": "651-287-8781",
            "fax_number": "651-287-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 GOLDEN VALLEY RD",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554224249",
            "telephone_number": "651-287-8781",
            "fax_number": "651-287-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "AJ",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "651-287-8781",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas John Philpot, M.D.
• Ashley Phimister
• Brenda Jo Phipps, RN
• Sharmyn Phipps
• Phoenix Adolescent Outpatient Treatment
• Phoenix Home Health Care
• Phoenix Mental Health, P.L.C.
• Phoenix Nest Inc.
• Phoenix Pulse LLC
• Alexandra G. Phoenix, OTR/L

• Specialist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.