Organization Active NPI

The Phoenix Group

  • Forensic Psychologist
  • Pittsburgh, PA
National Provider Identifier
1942657036
Registry record updated May 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
Legal business name
THE PHOENIX GROUP
Practice address
346 Lamarido St
Pittsburgh, PA 15226-1331
Phone
(412) 819-5462
NPI assigned
May 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2016

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

Authorized official

Name
Dr. Xander Phoenix, PSYDNPI 1760777999
Title
Owner
Phone
(412) 819-5462

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Forensic PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0200X Primary

Addresses

Primary practice location

346 Lamarido St
Pittsburgh, PA 15226-1331

Mailing address

346 Lamarido St
Pittsburgh, PA 15226-1331
Phone (412) 819-5462

National Provider Directory

National Provider Directory

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": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1942657036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 LAMARIDO ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152261331",
            "telephone_number": "412-819-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 LAMARIDO ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152261331",
            "telephone_number": "412-819-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PHOENIX GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "PHOENIX",
        "authorized_official_first_name": "XANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-819-5462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.