Active NPI
Phase 2 Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Memphis, TN
National Provider Identifier
1215452032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 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 DirectoryLocations
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.