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PHOENIX HOUSE FOUNDATION
NPI 1013255769
Clinic/Center - Adult Mental Health in New York, NY

Active since January 30, 2013
164 W 74TH ST, NEW YORK, NY 10023(212) 595-5810 Get Directions Write a Review

NPPES record last updated: January 30, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Phoenix House Foundation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX HOUSE FOUNDATION (NPI 1013255769) is a healthcare organization registered as an adult mental health in New York, New York and active in the NPI registry since January 2013. The organization lists Margaret Owen Walker, Social Worker, as its authorized official.

NPPES Registry Identity

NPI1013255769
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NamePHOENIX HOUSE FOUNDATION
Location Address164 W 74TH STNew York, NY 10023-2301
Mailing Address164 W 74th StNew York, NY 10023-2301
Phone(212) 595-5810
Organization SubpartNo
Authorized OfficialMargaret Owen WalkerSocial Worker · (212) 595-5810
Enumeration DateJanuary 30, 2013
✔ NPI 1013255769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in NY · 7002298R
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

164 W 74TH ST, New York, NY 10023
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PHOENIX HOUSES OF NEW YORK, INC.
Substance Abuse Rehabilitation Facility
164 W 74TH ST
NEW YORK, NY 10023
New York County (718) 222-6600
MRS. TESSA A VINING LCSW
Social Worker (Clinical)
164 W 74TH ST
NEW YORK, NY 10023
New York County (646) 505-2175
DR. CHRISTOPHER STEPHENS RANDOLPH M.D.
Internal Medicine
164 W 74TH ST
NEW YORK, NY 10023
New York County (718) 726-8484
ASHLEY BAGLIERI
Social Worker (Clinical)
164 W 74TH ST
NEW YORK, NY 10023
New York County (646) 505-2045
MS. EMILY MIRANDA PATULSKI LMSW
Social Worker
164 W 74TH ST
NEW YORK, NY 10023
New York County (646) 505-2000
PHOENIX HOUSE FOUNDATION, INC.
Clinic/Center (Multi-Specialty)
164 W 74TH ST
NEW YORK, NY 10023
New York County (718) 222-6600

Frequently Asked Questions

What is PHOENIX HOUSE FOUNDATION's NPI number?

The NPI number assigned to this healthcare provider is 1013255769, enumerated as an "organization" on January 30, 2013.

Where is the provider located?

The provider is located at 164 W 74TH ST NEW YORK, NY 10023 and the phone number is (212) 595-5810.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.