Phoenix Behavioral Health Services

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

PHOENIX BEHAVIORAL HEALTH SERVICES

Practice address

1059 S Bradford St
Dover, DE 19904-4141

Phone

(302) 736-6135

Fax

(302) 736-0172

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

John Friedman

Title

Ceo

Phone

(302) 736-6135

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

• Alberta Lynn Banks, LCSW

  • Clinical Social Worker
  • Dover, DE
  • NPI 1558504696
  NPD (past)
• E Faye Bibee Friedman, M.S.W., L.C.S.W.

  • Clinical Social Worker
  • Dover, DE
  • NPI 1013929397
  NPD (past)
• Lori S Bishop, M.S.W., L.C.S.W.

  • Clinical Social Worker
  • Dover, DE
  • NPI 1386656676
  NPD (past)
• Judith Alicia Bradford, LCSW

  • Clinical Social Worker
  • Dover, DE
  • NPI 1720001670
  NPD (past)
• Katherine G. Clendening, L.C.S.W., C.A.D.C.

  • Clinical Social Worker
  • Wilmington, DE
  • NPI 1225102486
  NPD (past)
• Diana S, Cohen, MSW/LCSW

  • Clinical Social Worker
  • Dover, DE
  • NPI 1851404594
  NPD (past)
• Carla Daufenbach, L.C.S.W.

  • Clinical Social Worker
  • Dover, DE
  • NPI 1114970613
  NPD (past)
• John Austin Defrate, M.D.

  • Neurology Physician
  • New Castle, DE
  • NPI 1346266863
  NPD (past)
• Olumuyiwa Falola, MD

  • Mental Health Counselor
  • Dover, DE
  • NPI 1336159193
  NPD (past)
• Robert A. Gorkin, M.D.

  • Psychiatry Physician
  • Dover, DE
  • NPI 1306882758

  Psychiatry

  NPD (past)
• Willard E. Heuser, L.C.S.W., I.C.A.D.C.

  • Clinical Social Worker
  • Wilmington, DE
  • NPI 1083788129
  NPD (past)
• David W Nixon, M.D.

  • Psychiatry Physician
  • Dover, DE
  • NPI 1316013329

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1689748428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1081",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199031081",
            "telephone_number": "302-736-6135",
            "fax_number": "302-736-0172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1059 S BRADFORD ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199044141",
            "telephone_number": "302-736-6135",
            "fax_number": "302-736-0172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "302-736-6135"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000022273",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chloe Walsh Philip, DDS
• Gayleen Philips
• Kenneth L Phillips
• Viviane Philmon, ED.D.
• Morris James Phinnessee, LPCMH
• Phoenix Behavioral Health Services, Inc
• Phoenix Rehabilitation and Health Services of Delaware Inc
• Physiatry Consultants LLC
• Physical Therapy Services Inc
• Physician Dispensing Solutions, Inc

• All providers in Dover, DE
• Psychiatry Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; 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.