NPIMap

Organization Active NPI

Phoenix Center Behavioral Health Services

  • Mental Illness Community Based Residential Treatment Facility
  • Warner Robins, GA
National Provider Identifier
1649424789
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
PHOENIX CENTER BEHAVIORAL HEALTH SERVICES
Practice address
940 Highway 96 Ste a
Warner Robins, GA 31088-2587
Phone
(478) 988-1222
Fax
(478) 988-1422
NPI assigned
Nov 14, 2008
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Shontaon Michelle Dean
Title
LPN
Phone
(478) 988-1222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X GA Primary

Addresses

Primary practice location

940 Highway 96 Ste a
Warner Robins, GA 31088-2587

Mailing address

940 Highway 96 Ste a
Warner Robins, GA 31088-2587
Phone (478) 988-1222

Other identifiers 1

IdentifierTypeStateIssuer
58215225MedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Center Comm Service10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1226620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1649424789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 HIGHWAY 96 STE A",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310882587",
            "telephone_number": "478-988-1222",
            "fax_number": "478-988-1422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 HIGHWAY 96 STE A",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310882587",
            "telephone_number": "478-988-1222",
            "fax_number": "478-988-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX CENTER BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "SHONTAON",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "478-988-1222"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58215225",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.