Phoenix Mental Health Services, LLC

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

468197 Issued in ME

Legal business name

PHOENIX MENTAL HEALTH SERVICES, LLC

Practice address

444 Stillwater Ave
Suite 202
Bangor, ME 04401-3500

Phone

(207) 941-1113

Fax

(207) 941-1134

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Barbara Kerrigan, LCSW

Title

Executive Director

Phone

(207) 941-1113

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Brent Scobie, LCSW

  • Clinical Social Worker
  • Bangor, ME
  • NPI 1659463040
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831200575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 STILLWATER AVE",
            "address_2": "SUITE 202",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013500",
            "telephone_number": "207-941-1113",
            "fax_number": "207-941-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 STILLWATER AVE",
            "address_2": "SUITE 202",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013500",
            "telephone_number": "207-941-1113",
            "fax_number": "207-941-1134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KERRIGAN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-941-1113",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "ME",
            "license": "468197",
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "ME",
            "license": "492121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia W. Phillips, MSW
• Peter T Phillips, LSW
• Tabrizia Phillips
• Suzanne Philp, LMT
• Cynthia A Phinney, MA
• Physicians Specialists Surgery Center of Maine PLLC
• Lawrence Piazza, M.D.
• Mark Piccirillo, M.D.
• Deborah L Pickering, PMHNP
• Michelle F Pickoski-Capuano, FNPC

• Public Health or Welfare Agency in Bangor, ME
• Providers in Bangor, ME by specialty
• Public Health or Welfare Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.