Phoenix Behavioral Health LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PHOENIX BEHAVIORAL HEALTH LLC

Practice address

31 Pine Street, Suite 207
Norfolk, MA 02056

Phone

(508) 623-3931

Fax

(508) 623-3939

NPI assigned

Feb 1, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Dawn Lorraine Parks, PHD, LMHC CADCNPI 1285819722

Title

Owner

Phone

(508) 623-3931

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Dawn Lorraine Parks, CADAC II, LMHC

  • Mental Health Counselor
  • Middleboro, MA
  • NPI 1285819722
  NPD Authorized official

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

{
    "created_epoch": "1612137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612137600000",
    "number": "1659962728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 MAPLE SWAMP ROAD",
            "city": "NORTH DIGHTON",
            "state": "MA",
            "postal_code": "02764",
            "telephone_number": "508-685-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 PINE STREET, SUITE 207",
            "city": "NORFOLK",
            "state": "MA",
            "postal_code": "02056",
            "telephone_number": "508-623-3931",
            "fax_number": "508-623-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "LORRAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-623-3931",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMHC CADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Marie Pagliarulo, PA-C
• Mitchell Stuart Pasenkoff, D.M.D.
• Neal R Patel, MD
• Anthony B. Payne, D.M.D.
• Personal Best Physical Therapy of Norfolk LLC
• Edward Albert Pollard, MD
• Pondville Cardiology Associates, LLC
• Pondville Medical Associates, LLC
• Pondville Physical Therapy
• Quest Diagnostics Massachusetts LLC

• Community/Behavioral Health Agency in Norfolk, MA
• Providers in Norfolk, MA by specialty
• Community/Behavioral Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.