Phoenix Integrated Health LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PHOENIX INTEGRATED HEALTH LLC

Practice address

5945 Sawmill Rd Unit B
Dublin, OH 43017-1623

Phone

(614) 389-3030

NPI assigned

Feb 28, 2019

Organization subpart

Yes

Parent organization

PHOENIX INTEGRATED HEALTH LLCAs reported in NPPES

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

Authorized official

Name

Burt Dhira

Title

Ceo

Phone

(614) 389-3030

Specialties & licenses 2

Addresses

Tax ID family

Phoenix Integrated Health LLC2 organizations share this tax ID, including this one

Part of

Phoenix Integrated Health LLC

Other organizations with this tax ID 1

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

• Phoenix Integrated Health

  • Addiction Medicine (Family Medicine) Physician
  • Dublin, OH
  • NPI 1265997118
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Phoenix Integrated Health

  • Addiction Medicine (Family Medicine) Physician
  • Dublin, OH
  • NPI 1265997118
  NPPES parent name

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588291200000",
    "number": "1114484961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5945 SAWMILL RD UNIT B",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171623",
            "telephone_number": "614-389-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5945 SAWMILL RD UNIT B",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171623",
            "telephone_number": "614-389-3030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5945 Sawmill Rd",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430171623",
            "country_code": "US",
            "telephone_number": "614-389-3030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32 Miller Ave",
            "address_purpose": "LOCATION",
            "city": "Ashville",
            "state": "OH",
            "postal_code": "431031273",
            "country_code": "US",
            "telephone_number": "614-389-3030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHOENIX INTEGRATED HEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHOENIX INTEGRATED HEALTH LLC",
        "enumeration_date": "2019-02-28",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A",
        "authorized_official_last_name": "DHIRA",
        "authorized_official_first_name": "BURT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-389-3030"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Walter Phillips, DO
• Cassondra Phillips
• Paradyze Phillips
• Niza Phiri, MSW
• Phoenix Integrated Health
• Phoenix Recovery Center, LLC (Phoenix Integrated Health)
• Physical Medicine Associates, Inc.
• Physician Center of Dublin 2LLC
• Physician Center of Dublin Inc
• Physicians Wellness Group LLC

• Community/Behavioral Health Agency in Dublin, OH
• Providers in Dublin, OH by specialty
• Community/Behavioral Health Agency in Ohio

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