Phoenix Wellness Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G058061 Issued in CA

Legal business name

PHOENIX WELLNESS GROUP

Practice address

3417 Valle Verde Dr
Napa, CA 94558-2414

Phone

(707) 255-4172

NPI assigned

Aug 16, 2006

Last updated

Mar 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Barbara Moss Keller, LCSWNPI 1679718142

Title

Business Director

Phone

(650) 888-2290

Specialties & licenses 1

Addresses

Other names 1

• Phoenix Wellness Group Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Barbara Moss Keller, LCSW

  • Clinical Social Worker
  • Palo Alto, CA
  • NPI 1679718142
  Authorized official Same address or phone

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1750494522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 VALLE VERDE DR",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582414",
            "telephone_number": "707-255-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 VALLE VERDE DR",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582414",
            "telephone_number": "707-255-4172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX WELLNESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "MOSS",
        "authorized_official_title_or_position": "BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "650-888-2290",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G058061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phoenix Wellness Group",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ellen Pfau
• Heidi Pfeifle, M.S., OTR/L
• Vivian Y-Vy Pham
• Pharmaca Integrative Pharmacy, Inc. (Pharmaca Integrative Pharmacy)
• Karen Elizabeth Phillips, PHD
• Physiotherapy Associates Inc
• Doris Jean Pick, PHD
• Jason M Pickett, D.D.S.
• Emma Piehl
• Jamie Lynn Pierce, P.T.

• Internal Medicine Physician in Napa, CA
• Providers in Napa, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.