NPIMap

Organization Active NPI

Phoenix Therapeutic Foundation, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Baltimore, MD
National Provider Identifier
1184983637
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
PHOENIX THERAPEUTIC FOUNDATION, INC
Practice address
5602 Baltimore National Pike
Suite 700
Baltimore, MD 21228-1411
Phone
(410) 744-9100
Fax
(410) 747-0226
NPI assigned
May 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Authorized official

Name
Amr A Elbeshir, M.A.
Title
Ceo
Phone
(410) 744-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

5602 Baltimore National Pike
Suite 700
Baltimore, MD 21228-1411

Mailing address

5602 Baltimore National Pike
Suite 700
Baltimore, MD 21228-1411
Phone (410) 744-9100

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Therapeutic Foundation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1184983637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5602 BALTIMORE NATIONAL PIKE",
            "address_2": "SUITE 700",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212281411",
            "telephone_number": "410-744-9100",
            "fax_number": "410-747-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5602 BALTIMORE NATIONAL PIKE",
            "address_2": "SUITE 700",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212281411",
            "telephone_number": "410-744-9100",
            "fax_number": "410-747-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX THERAPEUTIC FOUNDATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "ELBESHIR",
        "authorized_official_first_name": "AMR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-744-9100",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.