Organization Active NPI

Phos, Inc

  • Community/Behavioral Health Agency
  • Oak Lawn, IL
National Provider Identifier
1285331496
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PHOS, INC
Practice address
5724 W 95TH St
Oak Lawn, IL 60453-2359
Phone
(312) 291-1505
NPI assigned
Feb 8, 2023
Last updated
Apr 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Authorized official

Name
Angela Evangelopoulos
Title
Ceo
Phone
(312) 925-4651

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

5724 W 95TH St
Oak Lawn, IL 60453-2359

Mailing address

15826 S la Grange Rd Ste 122
Orland Park, IL 60462-7793
Phone (312) 925-4651

National Provider Directory

National Provider Directory

Locations

5724 W 95th St
Oak Lawn, IL 60453
Phone (312) 291-1505

15826 S La Grange Rd
Orland Park, IL 60462
Phone (312) 925-4651

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": "1675814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1285331496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15826 S LA GRANGE RD STE 122",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604627793",
            "telephone_number": "312-925-4651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5724 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532359",
            "telephone_number": "312-291-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A",
        "authorized_official_last_name": "EVANGELOPOULOS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "312-925-4651"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.