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Active NPI 1982929592 Organization (Entity Type 2)

Phoenix House

Clinic/Center - Rehabilitation, Substance Use Disorder • Springfield, MA

About Phoenix House NPI 1982929592 Summary

Phoenix House is a verified healthcare organization specializing in Clinic/Center - Rehabilitation, Substance Use Disorder operating in Springfield, MA. Located at 15 MULBERRY ST, this facility provides patient care and medical services under National Provider Identifier (NPI) 1982929592.

Administrative operations and authorized compliance are overseen by Shorey Raymond (Senior Counselor).

The facility is associated with 15 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

15 Mulberry St

Springfield, MA 011051433

Telephone 4137392440

Fax 4137391087

Authorized Official Information

Authorized Contact Name

MRS. Shorey Raymond , M. ED.

Title / Role

Senior Counselor

Official Telephone

4137392440

Facility Classifications & Specialties

Clinic/Center - Rehabilitation, Substance Use Disorder Primary Taxonomy

NUCC Taxonomy Code: 261QR0405X

Definition to come...

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

15 Linked

Stephanie Donovan , MA NPI 1154692283

Counselor - Addiction (Substance Use Disorder)

Springfield, MA

View Practitioner Profile →

Wanda Ladson NPI 1184059271

Counselor - Addiction (Substance Use Disorder)

Springfield, MA

View Practitioner Profile →

Kristine Hupfer , LICSW NPI 1184930554

Social Worker - Clinical

Springfield, MA

View Practitioner Profile →

Amy Canfield NPI 1225223654

Counselor - Mental Health

Springfield, MA

View Practitioner Profile →

Carolyn Cotter NPI 1285005835

Counselor

Springfield, MA

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Melanie Chapin , MED, LMHC NPI 1336303361

Counselor - Mental Health

Springfield, MA

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active April 07, 2010

NPI status registered as active in NPPES database

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Updated Practice Location April 07, 2010

Registered at 15 MULBERRY ST, SPRINGFIELD, MA 011051433 (Tel: 4137392440)

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Updated Business Mailing Address April 07, 2010

Registered at 15 MULBERRY ST, SPRINGFIELD, MA 011051433 (Tel: 4137392440)

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Organization / Clinic Name Updated April 07, 2010

Operating as PHOENIX HOUSE

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2010

Clinic/Center

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Initial NPI Registration & Enumeration April 07, 2010

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1982929592

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: April 07, 2010

Last Update: April 07, 2010

Update or Correct Listing

Mailing Address

15 Mulberry St

Springfield, MA 011051433

Phone: 4137392440

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.