Active NPIOrganization

Phoenix Houses Of New England, INC.

Substance Abuse Rehabilitation Facility in Providence, Rhode Island

NPI Number1992884787
Practice location
99 Wayland Ave, Suite 100, Providence, RI 02906-4314
Fax
401-421-5520
Last updated
April 9, 2021

Phoenix Houses Of New England, INC. is a healthcare organization based in Providence, RI. Phoenix Houses Of New England, INC. practices in Providence, RI. The NPI Number for Phoenix Houses Of New England, INC. is 1992884787 and holds a License No. 621 (RI). The current practice location address for Phoenix Houses Of New England, INC. is 99 Wayland Ave, Suite 100, Providence, RI 02906-4314 and can be reached out via phone at 401-331-4250 and via fax at 401-421-5520.

Provider Profile Details

NPI Number
1992884787
Provider Name
Phoenix Houses Of New England, INC.
Provider Entity Type
Organization
Address
99 Wayland Ave, Suite 100, Providence, RI 02906-4314
Phone Number
401-331-4250
Fax Number
401-421-5520
Primary Taxonomy
Substance Abuse Rehabilitation Facility · 324500000X
Organization Subpart
No
Authorized Official
Mr. Peter Mumma · President/ Ceo · 401-331-4250
Provider Enumeration Date
November 3, 2006
Last Update Date
April 9, 2021
Certification Date
April 9, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
99 Wayland Ave
Suite 100
Providence, RI 02906-4314
Zip
02906-4314
Phone Number
401-331-4250
Fax Number
401-421-5520
Providence, RI 02906Get directions →

Provider Business Mailing Address Details

Address
99 Wayland Ave
Suite 100
Providence, RI 02906-4314
City
Providence
State
RI
Zip
02906-4314
Phone Number
401-331-4250
Fax Number
401-421-5520

License Information

Taxonomy (1)
Counselor, Mental Health · 101YM0800X
Taxonomy (3)
Social Worker, Clinical · 1041C0700X
Taxonomy (4)
Marriage & Family Therapist · 106H00000X
Taxonomy (5)
Family Medicine, Addiction Medicine · 207QA0401X
Taxonomy (6)
Psychiatry & Neurology, Psychiatry · 2084P0800X
License Number (8)
621
License State (8)
RI
Taxonomy (8)
Substance Abuse Rehabilitation Facility · 324500000X
License Number (9)
02725
License State (9)
NH
Taxonomy (9)
Substance Abuse Rehabilitation Facility · 324500000X
License Number (10)
0296
License State (10)
MA
Taxonomy (10)
Substance Abuse Rehabilitation Facility · 324500000X
Taxonomy (11)
Physician Assistant · 363A00000X
Taxonomy (12)
Nurse Practitioner · 363L00000X
Taxonomy (13)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (15)
CMC 00028
License State (15)
RI
Taxonomy (15)
Substance Abuse Rehabilitation Facility · 324500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Houses Of New England, INC.?

The NPI number of Phoenix Houses Of New England, INC. is 1992884787. It was assigned on November 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Phoenix Houses Of New England, INC.?

Phoenix Houses Of New England, INC. is registered under the primary taxonomy Substance Abuse Rehabilitation Facility (code 324500000X), licensed in RI under license number 621.

Where does Phoenix Houses Of New England, INC. practice?

The practice location is 99 Wayland Ave, Suite 100, Providence, RI 02906-4314. The office can be reached at 401-331-4250 (phone) or 401-421-5520 (fax).

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 1992884787 directly on the NPPES registry website.

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