NPIMap

Organization Active NPI

Phoenix Behavioral Health

Doing business as Phoenix Addiction Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ewing, NJ
National Provider Identifier
1285090514
Registry record updated Nov 28, 2016
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
PHOENIX BEHAVIORAL HEALTH
Doing business as
Phoenix Addiction Services
Practice address
1014 Whitehead Rd Ext
Ewing, NJ 08638-4132
Phone
(609) 771-3777
NPI assigned
Dec 31, 2015
Last updated
Nov 28, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
PHOENIX BEHAVIORAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Authorized official

Name
Uriel Feldman, LSWNPI 1770958795
Title
Executive Director
Phone
(609) 771-3777

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

1014 Whitehead Rd Ext
Ewing, NJ 08638-4132

Mailing address

1014 Whitehead Road Ext
Ewing, NJ 08638-2406
Phone (609) 771-3777

Other names 1

  • Phoenix Addiction Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Behavioral Health9 organizations share this tax ID, including this one
Part of
Phoenix Behavioral Health

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

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": "1451520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1285090514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 WHITEHEAD ROAD EXT",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086382406",
            "telephone_number": "609-771-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 WHITEHEAD RD EXT",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086384132",
            "telephone_number": "609-771-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX BEHAVIORAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHOENIX BEHAVIORAL HEALTH",
        "enumeration_date": "2015-12-31",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "FELDMAN",
        "authorized_official_first_name": "URIEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "609-771-3777",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Addiction Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ewing, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.