Phoenix Health Professional Group, LLC
Psychologist, Addiction (Substance Use Disorder) in Providence, Rhode Island
1063037364- Practice location
- 99 Wayland Ave Ste 100, Providence, RI 02906-4314
- Phone
- 617-771-1154
- Fax
- —
- Last updated
- June 11, 2020
Phoenix Health Professional Group, LLC is a healthcare organization based in Providence, RI. Phoenix Health Professional Group, LLC practices in Providence, RI. The NPI Number for Phoenix Health Professional Group, LLC is 1063037364. The current practice location address for Phoenix Health Professional Group, LLC is 99 Wayland Ave Ste 100, Providence, RI 02906-4314 and can be reached out via phone at 617-771-1154.
Provider Profile Details
- NPI Number
- 1063037364
- Provider Name
- Phoenix Health Professional Group, LLC
- Provider Entity Type
- Organization
- Address
- 99 Wayland Ave Ste 100, Providence, RI 02906-4314
- Phone Number
- 617-771-1154
- Primary Taxonomy
- Psychologist, Addiction (Substance Use Disorder) · 103TA0400X
- Organization Subpart
- No
- Authorized Official
- Joel K Goloskie · Counsel · 617-771-1154
- Other Names
- Phoenix Health (Doing Business As)
- Provider Enumeration Date
- June 11, 2020
- Last Update Date
- June 11, 2020
- Certification Date
- June 11, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 99 Wayland Ave Ste 100
Providence, RI 02906-4314 - City
- Providence
- State
- Rhode Island
- Zip
- 02906-4314
- Phone Number
- 617-771-1154
Provider Business Mailing Address Details
- Address
- 1301 Atwood Ave Ste 100
Johnston, RI 02919-4933 - City
- Johnston
- State
- RI
- Zip
- 02919-4933
- Phone Number
- 617-771-1154
License Information
- Taxonomy (1)
- Registered Nurse, Addiction (Substance Use Disorder) · 163WA0400X
- Taxonomy (2)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Taxonomy (3)
- Social Worker · 104100000X
- Taxonomy (4)
- Psychologist, Addiction (Substance Use Disorder) · 103TA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Addiction (Substance Use Disorder) providers near Providence, RI
View all Psychologist, Addiction (Substance Use Disorder) providers in Providence →- Ana M Abrantes, PHDPsychologist, Addiction (Substance Use Disorder) · NPI 1205000544
- Dr. John E Mcgeary, PHDPsychologist, Addiction (Substance Use Disorder) · NPI 1053324483
- Dr. Peter M Monti, PHDPsychologist, Addiction (Substance Use Disorder) · NPI 1518181593
- Kate Carey, PHDPsychologist, Addiction (Substance Use Disorder) · NPI 1346647450
Frequently Asked Questions
What is the NPI number of Phoenix Health Professional Group, LLC?
The NPI number of Phoenix Health Professional Group, LLC is 1063037364. It was assigned on June 11, 2020 and is currently active in the NPPES registry.
What is the specialty of Phoenix Health Professional Group, LLC?
Phoenix Health Professional Group, LLC is registered under the primary taxonomy Psychologist, Addiction (Substance Use Disorder) (code 103TA0400X).
Where does Phoenix Health Professional Group, LLC practice?
The practice location is 99 Wayland Ave Ste 100, Providence, RI 02906-4314. The office can be reached at 617-771-1154 (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 1063037364 directly on the NPPES registry website.