Phoenix Foundation of Nevada

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PHOENIX FOUNDATION OF NEVADA

Practice address

2831 Saint Rose Pkwy Ste 200
Henderson, NV 89052-4841

Phone

(725) 202-1022

NPI assigned

Jul 31, 2024

Organization subpart

No

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

Authorized official

Name

Amber Gray

Title

Owner

Phone

(725) 202-1022

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1528897121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 SAINT ROSE PKWY STE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524841",
            "telephone_number": "725-202-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 SAINT ROSE PKWY STE 200",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524841",
            "telephone_number": "725-202-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX FOUNDATION OF NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "725-202-1022"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Leann Phillips, APRN
• Lucy Phillips
• Roxanne Phillips
• Stephanie Cherie Phillips
• Vanessa Phillips
• Phoenix Rising Nevada
• Phoenix Rising Therapy Center
• Sean Naroung Phorn
• Courtney Phyfer, FNP-BC
• Tamika Boulware Phyfer, PA-C

• Community/Behavioral Health Agency in Henderson, NV
• Providers in Henderson, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.