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PHOENIX BEHAVIORAL HEALTH LLC
NPI 1013427251
Clinic/Center in Ewing, NJ

Active since October 02, 2017CLIA 31D2190320 · Waiver
1014 WHITEHEAD ROAD EXT, EWING, NJ 08638(609) 771-3777 Get Directions Write a Review

NPPES record last updated: April 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phoenix Behavioral Health Llc NPPES

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

PHOENIX BEHAVIORAL HEALTH LLC (NPI 1013427251) is a healthcare organization registered as a clinic/center in Ewing, New Jersey and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through August 11, 2026 and lists Phil Fuhrer, Cfo, as its authorized official.

NPPES Registry Identity

NPI1013427251
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePHOENIX BEHAVIORAL HEALTH LLC
Location Address1014 WHITEHEAD ROAD EXTEwing, NJ 08638-2406
Mailing Address1014 Whitehead Road ExtEwing, NJ 08638-2406 · (609) 771-3777
Phone(609) 771-3777
Organization SubpartNo
Authorized OfficialPhil FuhrerCfo · (609) 771-3777
Enumeration DateOctober 2, 2017
Last NPPES UpdateApril 26, 2018
✔ NPI 1013427251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1014 WHITEHEAD ROAD EXT, Ewing, NJ 08638
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Other Identifiers 1

Medicaid0500411NJ

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2190320

Phoenix Behavioral Health · Ewing, NJ
Active · expires Aug 11, 2026
CLIA Number31D2190320
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 12, 2024
Certificate Expiration DateAugust 11, 2026
Laboratory DirectorBillie-Jo Stuto
Laboratory Phone(609) 323-1488
Laboratory LocationPhoenix Behavioral Health1014 Whitehead Road Ext, Ewing, NJ 08638
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

CRYSTAL WASHINGTON
Counselor (Mental Health)
1014 WHITEHEAD ROAD EXT
EWING, NJ 08638
Mercer County (609) 771-3777
ALAINA CHAPMAN BA
Counselor (Mental Health)
1014 WHITEHEAD ROAD EXT
EWING, NJ 08638
Mercer County (609) 771-3777
PHOENIX BEHAVIORAL HEALTH LLC
In Home Supportive Care
1014 WHITEHEAD ROAD EXT
EWING, NJ 08638
Mercer County (609) 771-3777
PARIZATIS R ALAIE LCSW
Counselor (Addiction (Substance Use Disorder))
1014 WHITEHEAD ROAD EXT
EWING, NJ 08638
Mercer County (609) 771-3777
DAYNA GIEL MSED, LPC
Counselor (Mental Health)
1014 WHITEHEAD ROAD EXT
EWING, NJ 08638
Mercer County (609) 771-3777
GABRIELLE PETOSA
Counselor (Mental Health)
1014 WHITEHEAD ROAD EXT
EWING, NJ 08638
Mercer County (609) 771-3777
PHOENIX SUPPORT SERVICES LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1014 WHITEHEAD ROAD EXT
EWING, NJ 08638
Mercer County (732) 239-3414
PHOENIX BEHAVIORAL HEALTH LLC
In Home Supportive Care
1014 WHITEHEAD ROAD EXT
EWING, NJ 08638
Mercer County (609) 771-3777

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Behavioral Health LLC's NPI number?

The NPI number for Phoenix Behavioral Health LLC is 1013427251. It was assigned to this organization in the NPPES registry on October 2, 2017.

Where is Phoenix Behavioral Health LLC located?

Phoenix Behavioral Health LLC is located at 1014 Whitehead Road Ext, Ewing, NJ 08638. The listed phone number is (609) 771-3777.

What is Phoenix Behavioral Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Phoenix Behavioral Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2190320) is associated with this NPI, valid through August 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Phoenix Behavioral Health LLC was last updated on April 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.