1. Home
  2. Directory
  3. Massachusetts
  4. Springfield
  5. Substance Abuse Rehabilitation Facility
  6. NPI Profile

PHOENIX HOUSE
NPI 1023408309
Substance Abuse Rehabilitation Facility in Springfield, MA

Active since January 26, 2015
5 MADISON AVE, SPRINGFIELD, MA 01105(413) 733-6051 Get Directions Write a Review

NPPES record last updated: January 26, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phoenix House NPPES

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

PHOENIX HOUSE (NPI 1023408309) is a healthcare organization registered as a substance abuse rehabilitation facility in Springfield, Massachusetts and active in the NPI registry since January 2015. The organization lists Ellen M Waltman, Clinical Supervisor, as its authorized official.

NPPES Registry Identity

NPI1023408309
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePHOENIX HOUSE
Location Address5 MADISON AVESpringfield, MA 01105-1403
Mailing Address5 Madison AvenueSpringfield, MA 01105 · (413) 733-6051
Phone(413) 733-6051
Organization SubpartNo
Authorized OfficialEllen M WaltmanClinical Supervisor · (413) 355-6832
Enumeration DateJanuary 26, 2015
✔ NPI 1023408309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in MA · 745
Definition
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.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 745 (MA)
Also ListedExclusive Provider OrganizationTaxonomy 302F00000X · License 745 (MA)
5 MADISON AVE, Springfield, MA 01105
Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

ERIKA NIERGARTH
Counselor (Addiction (Substance Use Disorder))
5 MADISON AVE
SPRINGFIELD, MA 01105
Hampden County (413) 223-5834

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 House's NPI number?

The NPI number for Phoenix House is 1023408309. It was assigned to this organization in the NPPES registry on January 26, 2015.

Where is Phoenix House located?

Phoenix House is located at 5 Madison Ave, Springfield, MA 01105. The listed phone number is (413) 733-6051.

What is Phoenix House's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Phoenix House was last updated on January 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.