Phoenix Psychiatry Services

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

31810 Issued in KY

Legal business name

PHOENIX PSYCHIATRY SERVICES

Practice address

1544 Winchester Ave
Suite 701
Ashland, KY 41101-7923

Phone

(606) 329-1016

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Emmanuel Eze, MD

Title

Owner

Phone

(606) 329-1016

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

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

• Tiffany Elswick Haney, LCSW

  • Clinical Social Worker
  • Ashland, KY
  • NPI 1851313605
  NPD
• Leia June Meenach, NP

  • Family Nurse Practitioner
  • Ashland, KY
  • NPI 1750483756
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1649375841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411050650",
            "telephone_number": "606-329-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 WINCHESTER AVE",
            "address_2": "SUITE 701",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017923",
            "telephone_number": "606-329-1016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX PSYCHIATRY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "EZE",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-329-1016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "31810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65941460",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB8637",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phillip Maroudis OD PSC & John Morton PTR
• Phillip Maroudis, O.D., P.S.C.
• Ashton Noel Phillips, LPCC
• Katherine Phillips
• Maegan Phillips
• Heather Pick, FNP-C
• David Matthew Pierce II, ARDMS, RVT
• Diane M Pierson, DO
• Miranda Pinkerton, APRN
• Daniel Pinkston

• Psychiatry Physician in Ashland, KY
• Providers in Ashland, KY by specialty
• Psychiatry Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.