Red Phoenix Healing LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

RED PHOENIX HEALING LLC

Practice address

89 Main St Ste 304
Medway, MA 02053-1815

Phone

(774) 573-1644

Fax

(774) 233-0037

NPI assigned

Mar 15, 2019

Last updated

May 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cynthia Meeske, LICSWNPI 1508917378

Title

Owner

Phone

(774) 573-1644

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

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.

• Cynthia Lynne Meeske, LICSW

  • Social Worker
  • Medway, MA
  • NPI 1508917378
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1306305727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 MAIN ST STE 304",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020531815",
            "telephone_number": "774-573-1644",
            "fax_number": "774-233-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 MAIN ST STE 304",
            "city": "MEDWAY",
            "state": "MA",
            "postal_code": "020531815",
            "telephone_number": "774-573-1644",
            "fax_number": "774-233-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED PHOENIX HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-15",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "MEESKE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-573-1644",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin E. Porges, APRN-BC, CADAC-II
• Andrea Porter
• Precision Medical Services
• Catherine Proctor, PT
• Mary Ellen Puopolo, FNP-C
• Laura Elizabeth Refrigeri, FNP
• Karina Augusta Reynolds, M.D.
• Hillary Rioux
• Robert L Cooper MD PC (Metrowest Health Center)
• Kevin Roberts

• Adult Mental Health Clinic/Center in Medway, MA
• Providers in Medway, MA by specialty
• Adult Mental Health Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.