Organization Active NPI

Phoenix Marriage & Family Therapy PLLC

  • Marriage & Family Therapist
  • New York, NY
National Provider Identifier
1316522360
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
PHOENIX MARRIAGE & FAMILY THERAPY PLLC
Practice address
19 W 34TH St PH
New York, NY 10001-3006
Phone
(212) 363-0787
NPI assigned
Mar 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Authorized official

Name
Ms. Phoenix Amal Muhammad, LMFT
Title
Ceo
Phone
(212) 363-0787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

19 W 34TH St PH
New York, NY 10001-3006

Mailing address

5 Fordham Hill Oval Apt 11a
Bronx, NY 10468-4758
Phone (212) 363-0787

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1316522360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FORDHAM HILL OVAL APT 11A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104684758",
            "telephone_number": "212-363-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W 34TH ST PH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013006",
            "telephone_number": "212-363-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX MARRIAGE & FAMILY THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "MUHAMMAD",
        "authorized_official_first_name": "PHOENIX",
        "authorized_official_middle_name": "AMAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "212-363-0787",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.