Phoenix Treatment Center LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

PHOENIX TREATMENT CENTER LLC

Practice address

11 Garden St Ste 306
Mount Holly, NJ 08060-1947

Phone

(609) 880-5047

NPI assigned

Sep 26, 2022

Organization subpart

No

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

Authorized official

Name

Miss Anna M Galindez, LSW

Title

Ceo

Phone

(609) 222-3945

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• Debra Sue Bradin, MSW, LCSW, LCADC

  • Clinical Social Worker
  • Mount Holly, NJ
  • NPI 1487409694
  Medicare reassignment NPD
• Anna G Galindez, MSW, LSW, LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Mount Holly, NJ
  • NPI 1912580606

  Social Worker

  NPD

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1497478259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 GARDEN ST STE 306",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601947",
            "telephone_number": "609-880-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 GARDEN ST STE 306",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601947",
            "telephone_number": "609-880-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX TREATMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-26",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "GALINDEZ",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "609-222-3945",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Personalized Independent Living Opporuntities & Training Services
• Brenda Lee Peterkin
• Samara Peters, DO
• Anne Pfarrer-Dazen, DMD
• Phoenix OB GYN Associates, LLC
• Physician Interpretations of New Jersey
• Brunilda Plaku, CRNA
• Marian Polius-McLean, CRNA
• Melanie Polizzi, RN
• Christopher Bernard Ponce, M.D.

• Social Worker in Mount Holly, NJ
• Providers in Mount Holly, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.