Phoenix Developmental Services LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

PHOENIX DEVELOPMENTAL SERVICES LLC

Practice address

1114 East St Apt 2
Emporia, KS 66801-7103

Phone

(620) 481-7728

NPI assigned

Nov 28, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Roy T Lingenfelter

Title

Owner-Director

Phone

(620) 481-7728

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1740990084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 W VIEW TER",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668015951",
            "telephone_number": "620-481-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 EAST ST APT 2",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668017103",
            "telephone_number": "620-481-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX DEVELOPMENTAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A",
        "authorized_official_last_name": "LINGENFELTER",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER-DIRECTOR",
        "authorized_official_telephone_number": "620-481-7728",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Perez-Tamayo, MD
• Janice R Perez, AAPS
• Jim Dow Persinger
• Melanie S Pheatt, LSCSW
• Kathleen A Phillips, RN,LMLP,LCP
• Pinewoods Dialysis LLC
• Lindley Suzanne Piper, LPC
• Aaron Matthew Pish, LMSW, LMAC
• Grace Leigh Pitt, LPC
• Liberti Ploutz

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Emporia, KS
• Providers in Emporia, KS by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.