Pamela Charity Phoenix

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

710 E 47TH St Ste 203W
Chicago, IL 60653-0120

Phone

(773) 828-4940

NPI assigned

Jan 28, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1871184374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 E 47TH ST STE 203W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606530120",
            "telephone_number": "773-828-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 E 47TH ST STE 203W",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606530120",
            "telephone_number": "773-828-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHOENIX",
        "first_name": "PAMELA",
        "middle_name": "CHARITY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phoenix Medical Associates, P.C.
• Phoenix Performance Therapy
• Phoenix Psychotherapy PLLC
• Phoenix Rising Counseling and Guidance, LLC
• Phoenix Underground Physical Therapy LLC
• Sara E Phou, LCSW
• Cathryn Pilavun Phouybanhdyt, MD, MPH
• PHS Home Health LLC
• Halleen K Phu, O.D.
• Amit Phull, M.D.

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.