NPIMap

Organization Active NPI

Phoenix Resolutions Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Port Saint Lucie, FL
National Provider Identifier
1093175275
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
PHOENIX RESOLUTIONS TREATMENT CENTER
Practice address
518 SW Prima Vista Blvd
Suite
Port Saint Lucie, FL 34983-8734
Phone
(954) 678-0078
NPI assigned
Mar 1, 2016
Last updated
Mar 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Authorized official

Name
Geralda Smith
Title
Director
Phone
(954) 678-0078

Specialties & licenses 1

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

Addresses

Primary practice location

518 SW Prima Vista Blvd
Suite
Port Saint Lucie, FL 34983-8734

Mailing address

518 SW Prima Vista Blvd
Suite
Port Saint Lucie, FL 34983-8734
Phone (954) 678-0078

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Resolutions Treatment Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1093175275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 SW PRIMA VISTA BLVD",
            "address_2": "SUITE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349838734",
            "telephone_number": "954-678-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 SW PRIMA VISTA BLVD",
            "address_2": "SUITE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349838734",
            "telephone_number": "954-678-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX RESOLUTIONS TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GERALDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "954-678-0078"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.