Phoenix Collective Inc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PHOENIX COLLECTIVE INC

Practice address

7456 Mission Gorge Road
Unit 165
San Diego, CA 92120-1301

Phone

(619) 535-0773

Fax

(619) 535-7055

NPI assigned

Oct 15, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Robin Mathy, MSW, MSC, LCSWNPI 1467649343

Title

President and Ceo

Phone

(651) 535-0773

Specialties & licenses 2

Addresses

Practitioners 1

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

• Robin Michele Mathy, MSW

  • Clinical Social Worker
  • Medford, OR
  • NPI 1467649343
  NPD Authorized official

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1477429439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 N CENTRAL AVE APT 9",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975015952",
            "telephone_number": "619-535-0773",
            "fax_number": "619-535-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7456 MISSION GORGE ROAD",
            "address_2": "UNIT 165",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921201301",
            "telephone_number": "619-535-0773",
            "fax_number": "619-535-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX COLLECTIVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "MATHY",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "651-535-0773",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, MSC, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gayle Viengkeo Phimmasone-Onepeng, N.P.
• Angelina Phimmasouk
• Khamfong Phimmavong
• Denise Phipps
• Phlebcare, LLC (PhlebCARE)
• Phoenix Medical Group, Inc.
• Andrew Phoon, MD
• Photic Mood & Anxiety Care LLC
• Ashliegh Marie Phouamkha
• Alina Phoutthavong, RN

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.