Phoenix Group Mental Health Services Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PHOENIX GROUP MENTAL HEALTH SERVICES INC

Practice address

103 2ND Ave NE
Clarion, IA 50525-1430

Phone

(515) 532-3338

Fax

(515) 532-3339

NPI assigned

Sep 12, 2005

Last updated

Jun 25, 2015By 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

Mrs. Susan Jean Marvin, LISWNPI 1285629709

Title

President

Phone

(515) 532-3338

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Susan Jean Marvin, LISW

  • Clinical Social Worker
  • Clarion, IA
  • NPI 1285629709
  Authorized official Same address or phone
• Carol Gordon Warmbier, LISW

  • Clinical Social Worker
  • Algona, IA
  • NPI 1972625119
  NPD (past)

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1316932833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 474",
            "city": "HUMBOLDT",
            "state": "IA",
            "postal_code": "505480474",
            "telephone_number": "515-532-3338",
            "fax_number": "515-532-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 2ND AVE NE",
            "city": "CLARION",
            "state": "IA",
            "postal_code": "505251430",
            "telephone_number": "515-532-3338",
            "fax_number": "515-532-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX GROUP MENTAL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "MARVIN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-532-3338",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316932833",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Iowa Mercy Clinics (Mercy Internal Medicine-Clarion)
• Northland Hearing Centers, Inc. (Hearing Unlimited)
• Andrew N. Odland, MD
• Mark Palit, M.D.
• Laura Phillips, PHARMD
• Tia Prebeck
• Kimberlee Randall, PA-C
• Bhoompally Reddy, MD
• Regina J Reedy, ARNP
• Carrie Jane Reese, ARNP

• Clinical Social Worker in Clarion, IA
• Providers in Clarion, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; 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.