Phoenix Academy Charter - Lawrence

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

PHOENIX ACADEMY CHARTER - LAWRENCE

Practice address

15 Union St
Lawrence, MA 01840-1866

Phone

(413) 735-2238

Fax

(413) 735-2270

NPI assigned

Jul 25, 2024

Organization subpart

No

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

Authorized official

Name

Beth Anderson

Title

Network Chief Executive Officer

Phone

(617) 889-3100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1194553602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 BRUSH HILL AVE",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891204",
            "telephone_number": "413-735-2238",
            "fax_number": "413-735-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 UNION ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401866",
            "telephone_number": "413-735-2238",
            "fax_number": "413-735-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX ACADEMY CHARTER - LAWRENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "NETWORK CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-889-3100"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia A Petropoulos, M.A.
• Lisa R Petrowski
• Sothea Phaen, PHARM D
• Nhat M Phan, DMD
• Viet Phan
• Kaiya Donovan Picard
• Jenna Marie Picco, PT, DPT
• Daiyana Emilia Pichardo
• Diana Pichardo
• Chrisler Pierre

• Local Education Agency (LEA) in Lawrence, MA
• Providers in Lawrence, MA by specialty
• Local Education Agency (LEA) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.