PHOENIX PSYCHIATRIC SERVICES
NPI 1033489109
Clinic/Center - Adult Mental Health in Fall River, MA

Active since January 06, 2012
101 JEREMIAH SULLIVAN DR, FALL RIVER, MA 02721(774) 644-5629(508) 678-8100 Get Directions Write a Review

NPPES record last updated: January 6, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Phoenix Psychiatric Services NPPES

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

PHOENIX PSYCHIATRIC SERVICES (NPI 1033489109) is a healthcare organization registered as an adult mental health in Fall River, Massachusetts and active in the NPI registry since January 2012. The organization lists Ewa M. Conroy, Owner, as its authorized official.

NPPES Registry Identity

NPI1033489109
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NamePHOENIX PSYCHIATRIC SERVICES
Location Address101 JEREMIAH SULLIVAN DRFall River, MA 02721
Mailing Address3338 N Main StFall River, MA 02720-1609 · (508) 676-5514
Fax(508) 678-8100
Organization SubpartNo
Authorized OfficialEwa M. ConroyOwner · (508) 676-5514
Enumeration DateJanuary 6, 2012
NPI 1033489109 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 MA · 206747
Definition

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

101 JEREMIAH SULLIVAN DR, Fall River, MA 02721

Other Identifiers 3

Medicare UPINS86597MA
Medicaid0380130MA
OtherNP1932MA · Medicare B

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033489109, enumerated as an "organization" on January 06, 2012.

The provider is located at 101 JEREMIAH SULLIVAN DR FALL RIVER, MA 02721 and the phone number is (774) 644-5629.

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.