NPIMap

Organization Active NPI

Phoenix Neurofeedback and Mental Health Center LLC

  • Clinical Social Worker
  • Taunton, MA
National Provider Identifier
1245155035
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PHOENIX NEUROFEEDBACK AND MENTAL HEALTH CENTER LLC
Practice address
1 Taunton GRN Ste 6
Taunton, MA 02780-3225
Phone
(774) 240-9473
Fax
(508) 819-3003
NPI assigned
Aug 11, 2026
Last updated
Aug 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Djara HamptonNPI 1710313879
Title
Owner
Phone
(774) 240-9473

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1 Taunton GRN Ste 6
Taunton, MA 02780-3225

Mailing address

150 Richmond St
Raynham, MA 02767-1308
Phone (774) 240-9473

National Provider Directory

National Provider Directory

Locations

1 Taunton Grn
Ste 6
Taunton, MA 02780
Phone (774) 240-9473

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1245155035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 RICHMOND ST",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027671308",
            "telephone_number": "774-240-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TAUNTON GRN STE 6",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027803225",
            "telephone_number": "774-240-9473",
            "fax_number": "508-819-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX NEUROFEEDBACK AND MENTAL HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "HAMPTON",
        "authorized_official_first_name": "DJARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-240-9473"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.