Organization Active NPI

Phoenix Therapy Services

  • Clinical Social Worker
  • Novi, MI
National Provider Identifier
1346632429
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801089440 Issued in MI
Legal business name
PHOENIX THERAPY SERVICES
Practice address
45449 Galway Dr
Novi, MI 48374-3917
Phone
(151) 780-3759
Fax
(888) 690-5462
NPI assigned
Feb 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Authorized official

Name
Catherine R Howe, LMSWNPI 1912185992
Title
Owner/Mental Health Therapist
Phone
(517) 803-7599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X 6301013635 MI
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 6801089440 MI Primary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 6801079631 MI

Addresses

Primary practice location

45449 Galway Dr
Novi, MI 48374-3917

Mailing address

45449 Galway Dr
Novi, MI 48374-3917
Phone (517) 803-7599

National Provider Directory

National Provider Directory

Locations

42705 Grand River Ave
Ste 201
Novi, MI 48375
Phone (248) 329-3099

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1346632429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45449 GALWAY DR",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483743917",
            "telephone_number": "517-803-7599",
            "fax_number": "888-690-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45449 GALWAY DR",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483743917",
            "telephone_number": "151-780-3759",
            "fax_number": "888-690-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "HOWE",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "517-803-7599",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301013635",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089440",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801079631",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.