PHOENIX HOUSES OF NEW YORK, INC. (NPI# 1134297153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134297153 |
| Entity Type | Organization |
| Organization Name | PHOENIX HOUSES OF NEW YORK, INC. |
| Practice Address |
164 W 74th St New York NY 10023-2301 |
| Mailing Address |
50 Jay St 3rd Fl Brooklyn NY 11201-1144 |
| Practice Telephone | 7182226600 |
| Practice Fax Number | 7185762866 |
| Mailing Telephone | 7182226600 |
| Mailing Fax Number | 7185762866 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-11-21 |
| Authorized Official Name | MR. KEVIN KIRCHOFF (SR. VICE PRESIDENT) |
| Authorized Official Telephone | 2125955810 |
| Is Organization Subpart | Y |
| Parent Organization Name | PHOENIX HOUSE FOUNDATION, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02644448 | 05 | |
| NY | 02918216 | 05 |
| Street Address |
164 W 74TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10023-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700291523 | Emily Miranda Patulski | Social Worker | 164 W 74th St, New York, NY 10023-2301 | 2014-07-01 |
| 1013255769 | Phoenix House Foundation | Clinic/Center | 164 W 74th St, New York, NY 10023-2301 | 2013-01-30 |
| 1972837763 | Ashley Baglieri | Social Worker | 164 W 74th St, New York, NY 10023-2301 | 2009-09-25 |
| 1023261328 | Tessa A Vining | Social Worker | 164 W 74th St, New York, NY 10023-2301 | 2008-10-30 |
| 1679729206 | Jessica Ann Knoll | Counselor | 164 W 74th St, 3rd Floor, New York, NY 10023-2301 | 2008-08-14 |
| 1952502486 | Mitchell S. Rosenthal | Psychiatry & Neurology | 164 W 74th St, New York, NY 10023-2301 | 2007-05-31 |
| 1629139654 | Christopher Stephens Randolph | Internal Medicine | 164 W 74th St, New York, NY 10023-2301 | 2006-12-13 |
| 1245391911 | Bette B Lyons | Registered Nurse | 164 W 74th St, New York, NY 10023-2301 | 2006-12-13 |
| 1275694507 | Barbara S. Goldberg | Registered Nurse | 164 W 74th St, New York, NY 10023-2301 | 2006-12-12 |
| 1639247653 | Phoenix House Foundation, Inc. | Clinic/Center | 164 W 74th St, New York, NY 10023-2301 | 2006-11-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396353215 | Marian Lisa Stern | Psychologist | 6 West 74th Street, Ny, NY 10023 | 2020-07-16 |
| 1720605652 | Elizabeth Bentley | Social Worker | Institute of Contemporary Psychotherapy, 33 W 60th St. 4th Floor New York, New York, NY 10023 | 2020-06-26 |
| 1164058236 | Dawn Fitzgerald | Registered Nurse | 315 West 70th Street, Suite 1b, New York, NY 10023 | 2020-03-20 |
| 1841849817 | David Charles Tannenbaum | Social Worker | 10 West 74th 1b, Nyc, NY 10023 | 2019-09-11 |
| 1447811211 | United Social Services of The Society for Ethical Culture, Inc. | Community/Behavioral Health | 2 West 64th St., Room 505, New York, NY 10023 | 2019-06-24 |
| 1043875198 | Linda M Stolarz | Social Worker | 140 W 71st, Apt 3 E, New York, NY 10023 | 2019-05-03 |
| 1336609825 | Laurie Faye Schwartz | Counselor | 20 W 64 St, Apt 21a, New York, NY 10023 | 2019-03-21 |
| 1891252706 | Marcia Hochman | Social Worker | The Hallowell Center, 117 West 72nd St. 3rd Floor, Ny, NY 10023 | 2019-02-27 |
| 1629545843 | Roni-sue Allen | Marriage & Family Therapist | 1841 Broadway Suite 325, New York, NY 10023 | 2018-10-25 |
| 1346757291 | Jang Sook Min | Acupuncturist | 134 W 72nd St, New York, NY 10023 | 2018-01-01 |
| Find all providers in zip 10023 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023589090 | Argus Community, Inc. | Substance Abuse Rehabilitation Facility | 2015-25 Madison Avenue, 4th Floor, New York, NY 10035-1015 | 2018-12-16 |
| 1467949867 | Ocean Recovery East LLC | Substance Abuse Rehabilitation Facility | 113 E 60th St, New York, NY 10022-1939 | 2018-04-20 |
| 1578050944 | Elev8 Center New York, LLC | Substance Abuse Rehabilitation Facility | 151 W 136th St, New York, NY 10030-2606 | 2018-04-20 |
| 1174069264 | Samaritan Daytop Village | Substance Abuse Rehabilitation Facility | 327 W 43rd St, New York, NY 10036-6406 | 2017-01-12 |
| 1730623489 | Argus Community, Inc. | Substance Abuse Rehabilitation Facility | 202-204 Edgecombe Avenue, New York, NY 10030-1102 | 2016-12-15 |
| 1912376062 | Addicts Rehabilitation Center Fund Inc. | Substance Abuse Rehabilitation Facility | 1881 Park Avenue, New York, NY 10035 | 2015-09-18 |
| 1407242191 | Rodney Reyes | Substance Abuse Rehabilitation Facility | 121 W 111th St, New York, NY 10026-4207 | 2015-04-09 |
| 1154711612 | Create, Inc. | Substance Abuse Rehabilitation Facility | 121-123 West 111th Street, New York, NY 10026 | 2015-02-04 |
| 1316350788 | Esperanza | Substance Abuse Rehabilitation Facility | 170 E 107th St, New York, NY 10029-3905 | 2014-06-03 |
| 1386071520 | Project Renewal | Substance Abuse Rehabilitation Facility | 8 East 3rd St, New York, NY 10003 | 2013-10-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.