PHOENIX BEHAVIORAL GROUP LLC NPI 1902673031

NPI Information

  • NPI: 1902673031
  • Provider Name: PHOENIX BEHAVIORAL GROUP LLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 4949 TAMIAMI TRL N STE 202
    NAPLES, FL
    ZIP 34103
  • Phone: (239) 259-1659

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NPI Details

PHOENIX BEHAVIORAL GROUP LLC is a psychiatric/mental health nurse practitioner in Naples, FL. PHOENIX BEHAVIORAL GROUP LLC NPI is 1902673031. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4949 TAMIAMI TRL N STE 202
NAPLES, FL
ZIP 34103-017
Phone: (239) 259-1659
Fax: (239) 692-8264

The provider's authorized official is Johanny Ortiz .
The authorized official title is Mbr and has the following contact phone number (239) 276-9464.

The enumeration date for this NPI number is 12/8/2023 and was last updated on 12/21/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 11/21/2025

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