NPIMap

Organization Active NPI

Phoenix Focused Behavioral Healthcare, LLC

  • Behavior Analyst
  • Yorktown, VA
National Provider Identifier
1427650787
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PHOENIX FOCUSED BEHAVIORAL HEALTHCARE, LLC
Practice address
100 Crossroads Loop Apt 310
Yorktown, VA 23693-5674
Phone
(917) 991-2720
NPI assigned
Nov 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Authorized official

Name
Mrs. Melissa Cynthia Burke, BCBANPI 1205342276
Title
Owner
Phone
(917) 991-2720

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

100 Crossroads Loop Apt 310
Yorktown, VA 23693-5674

Mailing address

100 Crossroads Loop Apt 310
Yorktown, VA 23693-5674
Phone (917) 991-2720

National Provider Directory

National Provider Directory

Locations

6420 George Washington Mem Hwy
Ste A
Yorktown, VA 23692
Phone (757) 775-7356

Practitioners & affiliated clinicians

Practitioners 2

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": "1605139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1427650787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CROSSROADS LOOP APT 310",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236935674",
            "telephone_number": "917-991-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CROSSROADS LOOP APT 310",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236935674",
            "telephone_number": "917-991-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX FOCUSED BEHAVIORAL HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-991-2720",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorktown, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; 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.