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PHOENIX MENTAL HEALTH LLC NPI 1437590601


NPI Information

NPI: 1437590601
Provider Name: PHOENIX MENTAL HEALTH LLC
Classification: Point of Service - 305S00000X
Entity Type: Organization
Address:
100 S BOGGS AVE
VIRGINIA BEACH, VA
ZIP 23452
Phone: (757) 453-4017
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PHOENIX MENTAL HEALTH LLC is a point of service in Virginia Beach, VA. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. PHOENIX MENTAL HEALTH LLC NPI is 1437590601. The provider is registered as an organization entity type.

The provider's business location address is:

100 S BOGGS AVE
VIRGINIA BEACH, VA
ZIP 23452-705
Phone: (757) 453-4017

The provider's authorized official is Richard M Mason .
The authorized official title is Lpc and has the following contact phone number (757) 453-4017.

The enumeration date for this NPI number is 7/16/2013 and was last updated on 7/22/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305S00000XPoint of Service0701003229VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11891042438OTHERVIRGINIANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.