NPIMap

Organization Active NPI

Phoenix House

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Springfield, MA
National Provider Identifier
1982929592
Registry record updated Apr 7, 2010
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
15 Mulberry St
Springfield, MA 01105-1433
Phone
(413) 739-2440
Fax
(413) 739-1087
NPI assigned
Apr 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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

Authorized official

Name
Mrs. Shorey Elizabeth Raymond, M. ED.
Title
Senior Counselor
Phone
(413) 739-2440

Specialties & licenses 1

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

Addresses

Primary practice location

15 Mulberry St
Springfield, MA 01105-1433

Mailing address

15 Mulberry St
Springfield, MA 01105-1433
Phone (413) 739-2440

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

15 Mulberry St
Springfield, MA 01105
Phone (413) 739-2440

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270598400000",
    "number": "1982929592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MULBERRY ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011051433",
            "telephone_number": "413-739-2440",
            "fax_number": "413-739-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MULBERRY ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011051433",
            "telephone_number": "413-739-2440",
            "fax_number": "413-739-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-04-07",
        "status": "A",
        "authorized_official_last_name": "RAYMOND",
        "authorized_official_first_name": "SHOREY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "SENIOR COUNSELOR",
        "authorized_official_telephone_number": "413-739-2440",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M. ED."
    },
    "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 Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.