Phase Two Recovery

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

PHASE TWO RECOVERY

Practice address

435 Eastern Blvd
Baltimore, MD 21221-6715

Phone

(443) 916-2533

NPI assigned

Oct 17, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Christopher Henry Jr.

Title

Vice President

Phone

(410) 301-9162

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1417468455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 EASTERN BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212216715",
            "telephone_number": "443-916-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 EASTERN BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212216715",
            "telephone_number": "443-916-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHASE TWO RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "410-301-9162",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093250235",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pharmacare at Mt. Clare, LLC
• Pharmacare at Park Heights LLC
• Pharmasap Inc
• Bashar Pharoan, MD
• Phase One Recovery House
• Swati D Phatak, MD
• Michael W. Phelan, M.D.
• Deanna Louise Phelps, LCSW-C
• Gary Phelps, CRNA
• Jonathan Martin Phelps

• Substance Abuse Rehabilitation Facility in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Substance Abuse Rehabilitation Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.