Phoenix Healthcare Systems

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PHOENIX HEALTHCARE SYSTEMS

Practice address

9405 Liberty Rd Ste E
Randallstown, MD 21133-2712

Phone

(443) 848-6974

NPI assigned

Jun 12, 2025

Organization subpart

No

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

Authorized official

Name

Konu Bell

Title

Owner

Phone

(443) 848-6974

Specialties & licenses 1

Addresses

Tax ID family

Phoenix Healthcare Systems2 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.

• Phoenix Healthcare Systems

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Randallstown, MD
  • NPI 1033089586
  NPD tax ID

Locations

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1164317798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9405 LIBERTY RD STE E",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211332712",
            "telephone_number": "443-848-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9405 LIBERTY RD STE E",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211332712",
            "telephone_number": "443-848-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HEALTHCARE SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "KONU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-848-6974"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asnah Perlman, M.ED., LCPC, NCC
• Carla Perry
• Trung H Pham, M.D.
• Phoenix Behavioral Health of Maryland Inc
• Phoenix Healthcare Systems
• Deborah Pierson, LCSW/C
• Diana Pieterson
• Radhika Pilla, M.D
• Dominique Pinchback
• Sucheep Piyasirisilp, CRNA

• Family Nurse Practitioner in Randallstown, MD
• Providers in Randallstown, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.