Phoenix House

LBN: Phoenix House
Phoenix House is an health care organization with primary practice located at 5 Madison Ave , Springfield MA 01105-1403. The organization recently has 3 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Managed Care Organizations / Exclusive Provider Organization, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Phoenix House can be contacted via phone (413) 733-6051, or through Waltman, Ellen M via phone (413) 355-6832.

Contact Information

Primary practice address
5 Madison Ave Springfield MA 01105-1403
Phone: (413) 733-6051
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Waltman, Ellen M MED,LMHC
Phone: (413) 355-6832

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 745 Massachusetts
Managed Care Organizations / Exclusive Provider Organization 302F00000X 745 Massachusetts
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 745 Massachusetts

Profile Details

NPI number 1023408309
LBN Legal business name Phoenix House
DBA Doing business as
Authorized official Waltman, Ellen M MED,LMHC
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2015
Last updated Jan 26th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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