Organization Active NPI

Phase 2 Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Memphis, TN
National Provider Identifier
1215452032
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PHASE 2 BEHAVIORAL HEALTH
Practice address
3592 Knight Arnold Rd Ste 204
Memphis, TN 38118-2709
Phone
(910) 899-3354
NPI assigned
Aug 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Terrie Simpson
Title
Partner
Phone
(910) 899-3354

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Children's Substance Abuse Rehabilitation Facility 3245S0500X

Addresses

Primary practice location

3592 Knight Arnold Rd Ste 204
Memphis, TN 38118-2709

Mailing address

233 Westchester Rd
Wilmington, NC 28409-8509
Phone (910) 550-8676

Other practice location 1

233 Westchester Rd
Wilmington, NC 28409-8509
Phone (910) 550-8676

National Provider Directory

National Provider Directory

Locations

3592 Knight Arnold Rd
Ste 204
Memphis, TN 38118
Phone (910) 899-3354

NPI Registry JSON

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1215452032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 WESTCHESTER RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284098509",
            "telephone_number": "910-550-8676",
            "fax_number": "404-393-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3592 KNIGHT ARNOLD RD STE 204",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381182709",
            "telephone_number": "910-899-3354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "233 Westchester Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284098509",
            "country_code": "US",
            "telephone_number": "910-550-8676",
            "fax_number": "404-393-8560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHASE 2 BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2022-07-21",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "TERRIE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "910-899-3354",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.