Phoenix Reborn Mental Health Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PHOENIX REBORN MENTAL HEALTH CENTER

Practice address

205 N College Ave Ste 612
Bloomington, IN 47404-3956

Phone

(812) 325-8760

NPI assigned

Aug 14, 2023

Last updated

Aug 14, 2023By 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

Sarah Franklin, PMHNPNPI 1114650868

Title

Pmhnp

Phone

(812) 325-8760

Specialties & licenses 1

Addresses

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.

• Sarah Franklin, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bloomington, IN
  • NPI 1114650868
  NPD Authorized official

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1922781178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N COLLEGE AVE STE 612",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N COLLEGE AVE STE 612",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043956",
            "telephone_number": "812-325-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX REBORN MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-13",
        "status": "A",
        "authorized_official_last_name": "FRANKLIN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "812-325-8760",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Phelps, NP-C
• Thomas D Phelps, LMHC
• Philip a. Crooke, M.D., P.C.
• Gregory Ellis Phillips, DDS, MSD
• Lucas Phillips, MED, ATC, LAT
• Physiotherapy Associates Inc
• Julia M Pickett, LCSW
• Naomi Pickholtz, PH.D.
• Haley Picking
• Casey W Pielemeier, MPT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.