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PHOENIX HOUSES OF NEW ENGLAND INC. NPI 1992884787


NPI Information

NPI: 1992884787
Provider Name: PHOENIX HOUSES OF NEW ENGLAND, INC.
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
99 WAYLAND AVE
SUITE 100
PROVIDENCE, RI
ZIP 02906
Phone: (401) 331-4250
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PHOENIX HOUSES OF NEW ENGLAND, INC. is a substance abuse rehabilitation facility in Providence, RI. The provider is 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. PHOENIX HOUSES OF NEW ENGLAND, INC. NPI is 1992884787. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

99 WAYLAND AVE
SUITE 100
PROVIDENCE, RI
ZIP 02906-314
Phone: (401) 331-4250
Fax: (401) 421-5520

The provider's authorized official is Peter Mumma .
The authorized official title is President/ Ceo and has the following contact phone number (401) 331-4250.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 4/9/2021.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
31041C0700XSocial WorkerClinicalNo
4106H00000XMarriage & Family TherapistNo
5207QA0401XFamily MedicineAddiction MedicineNo
62084P0800XPsychiatry & NeurologyPsychiatryNo
72084P0802XPsychiatry & NeurologyAddiction PsychiatryNo
8324500000XSubstance Abuse Rehabilitation Facility0296MASSACHUSETTSNo
9324500000XSubstance Abuse Rehabilitation Facility02725NEW HAMPSHIRENo
10324500000XSubstance Abuse Rehabilitation FacilityCMC 00028RHODE ISLANDYes
11324500000XSubstance Abuse Rehabilitation Facility621RHODE ISLANDNo
12363A00000XPhysician AssistantNo
13363L00000XNurse PractitionerNo
14363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
15364SP0808XClinical Nurse SpecialistPsychiatric/Mental HealthNo

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
16988OTHERBC RI
29192OTHERRHODE ISLANDNHP RI
39515OTHERRHODE ISLANDNHP RI
4MA04867MEDICAIDRHODE ISLAND
51002232MEDICAIDVERMONT
6203388OTHERBC RI
730007117MEDICAIDNEW HAMPSHIRE
8467656OTHERMOHEGAN SUN VALUE OPTIONS
99202OTHERRHODE ISLANDNHP RI
10410875OTHERBC RI
111009358MEDICAIDVERMONT
1215601001OTHERMAINEMAINECARE
1330766OTHERBC RI
149203OTHERRHODE ISLANDNHP RI
151006554MEDICAIDVERMONT
161009585MEDICAIDVERMONT
1715601000OTHERMAINEMAINECARE
1830763OTHERBC RI
19410878OTHERBC RI

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: 4/28/2024

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.