Phoenix House
Substance Abuse Rehabilitation Facility in Springfield, Massachusetts
1023408309- Practice location
- 5 Madison Ave, Springfield, MA 01105-1403
- Phone
- 413-733-6051
- Fax
- —
- Last updated
- January 26, 2015
Phoenix House is a healthcare organization based in Springfield, MA. Phoenix House practices in Springfield, MA. The NPI Number for Phoenix House is 1023408309 and holds a License No. 745 (MA). The current practice location address for Phoenix House is 5 Madison Ave, Springfield, MA 01105-1403 and can be reached out via phone at 413-733-6051.
Provider Profile Details
- NPI Number
- 1023408309
- Provider Name
- Phoenix House
- Provider Entity Type
- Organization
- Address
- 5 Madison Ave, Springfield, MA 01105-1403
- Phone Number
- 413-733-6051
- Primary Taxonomy
- Substance Abuse Rehabilitation Facility · 324500000X
- Organization Subpart
- No
- Authorized Official
- Ellen M Waltman, MED, LMHC · Clinical Supervisor · 413-355-6832
- Provider Enumeration Date
- January 26, 2015
- Last Update Date
- January 26, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5 Madison Ave
Springfield, MA 01105-1403 - City
- Springfield
- State
- Massachusetts
- Zip
- 01105-1403
- Phone Number
- 413-733-6051
Provider Business Mailing Address Details
- Address
- 5 Madison Avenue
Springfield, MA 01105 - City
- Springfield
- State
- MA
- Zip
- 01105
- Phone Number
- 413-733-6051
License Information
- License Number (1)
- 745
- License State (1)
- MA
- Taxonomy (1)
- Community/Behavioral Health · 251S00000X
- License Number (2)
- 745
- License State (2)
- MA
- Taxonomy (2)
- Exclusive Provider Organization · 302F00000X
- License Number (3)
- 745
- License State (3)
- MA
- Taxonomy (3)
- Substance Abuse Rehabilitation Facility · 324500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Phoenix House?
The NPI number of Phoenix House is 1023408309. It was assigned on January 26, 2015 and is currently active in the NPPES registry.
What is the specialty of Phoenix House?
Phoenix House is registered under the primary taxonomy Substance Abuse Rehabilitation Facility (code 324500000X), licensed in MA under license number 745.
Where does Phoenix House practice?
The practice location is 5 Madison Ave, Springfield, MA 01105-1403. The office can be reached at 413-733-6051 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023408309 directly on the NPPES registry website.