Phoenix Healthcare Services LLC

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

Legal business name

PHOENIX HEALTHCARE SERVICES LLC

Practice address

7324 N Western Ave
Chicago, IL 60645-1814

Phone

(773) 465-4555

Fax

(773) 465-4552

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Joel Mostow, MDNPI 1053351502

Title

Delegated Official

Phone

(773) 465-4555

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joel Steven Mostow, M.D.

  • Psychiatry Physician
  • Napa, CA
  • NPI 1053351502
  NPD (past) Authorized official
• Omer Abid, MD

  • Public Health & General Preventive Medicine Physician
  • Homewood, IL
  • NPI 1174539464
  NPD (past)
• Scott Gordon, MD

  • Psychiatry Physician
  • Ravenswood, WV
  • NPI 1821038159
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1285680645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 GOVERNORS",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "60169",
            "telephone_number": "847-310-3555",
            "fax_number": "773-751-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7324 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606451814",
            "telephone_number": "773-465-4555",
            "fax_number": "773-465-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "MOSTOW",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "773-465-4555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chalongchai Phitsanuwong
• Phlebs R US
• Mai Pho
• Phocused Consulting LLC (Phocused On Smiles)
• Phoenix BX LLC
• Phoenix Medical Associates
• Phoenix Medical Associates, P.C.
• Phoenix Performance Therapy
• Phoenix Psychotherapy PLLC
• Phoenix Rising Counseling and Guidance, LLC

• Group Psychotherapy Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Group Psychotherapy Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.