Phoenix Psychology Services, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PHOENIX PSYCHOLOGY SERVICES, PLLC

Practice address

423 3Rd Ave SE Ste 201
Rochester, MN 55904-4897

Phone

(507) 261-2981

NPI assigned

Jul 11, 2017

Organization subpart

No

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

Authorized official

Name

Amanda Briggs, MA, LPCCNPI 1073944187

Title

Owner

Phone

(507) 261-2981

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.

• Amanda Briggs, MA, LPCC

  • Professional Counselor
  • Eyota, MN
  • NPI 1073944187
  NPD (past) Authorized official

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499731200000",
    "number": "1942722079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 SOUTH AVE SE",
            "city": "EYOTA",
            "state": "MN",
            "postal_code": "559342918",
            "telephone_number": "507-261-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 3RD AVE SE STE 201",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559044897",
            "telephone_number": "507-261-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX PSYCHOLOGY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-11",
        "last_updated": "2017-07-11",
        "status": "A",
        "authorized_official_last_name": "BRIGGS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-261-2981",
        "authorized_official_credential": "MA, LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Matthew Phillips, M.D., PH.D.
• Trevor Phillips
• Valerie Luanne Phillips
• Philoxenia Charities
• Phoenix Healing Center LLC
• Alice Piccinini, MD
• Ezequiel Agustin Piccione, M.D
• Laura Piccolo Serafim, M.D.
• Shannon Piche, PHARM.D., R.PH.
• Pavel N. Pichurin, M.D.

• Community/Behavioral Health Agency in Rochester, MN
• Providers in Rochester, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2017; 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.