NPIMap

Organization Active NPI

Phoenix House

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Westerly, RI
National Provider Identifier
1841403136
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
PHOENIX HOUSE
Practice address
101 Franklin St
Westerly, RI 02891-3198
Phone
(401) 348-9995
Fax
(401) 348-9995
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Lindsey J. Bruins, RCS, LCDPNPI 1205041316
Title
Counselor
Phone
(401) 348-9995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

101 Franklin St
Westerly, RI 02891-3198

Mailing address

101 Franklin St
Westerly, RI 02891-3198
Phone (401) 348-9995

National Provider Directory

National Provider Directory
Tax ID family
Phoenix House10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

101 Franklin St
Westerly, RI 02891
Phone (401) 348-9995

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841403136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FRANKLIN ST",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028913198",
            "telephone_number": "401-348-9995",
            "fax_number": "401-348-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FRANKLIN ST",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028913198",
            "telephone_number": "401-348-9995",
            "fax_number": "401-348-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRUINS",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "401-348-9995",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RCS, LCDP"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerly, RI

Sources for this page

  • 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.