PHOENIX CLINIC, INC.
NPI 1043304140
Clinic/Center - Mental Health (Including Community Mental Health Center) in North Miami, FL

Active since October 03, 2006
13730 NW 6TH CT, NORTH MIAMI, FL 33168(305) 891-3439 Get Directions Write a Review

NPPES record last updated: August 27, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phoenix Clinic, Inc. NPPES

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

PHOENIX CLINIC, INC. (NPI 1043304140) is a healthcare organization registered as a mental health (including community mental health center) in North Miami, Florida and active in the NPI registry since October 2006. The organization lists Bonnie Graham, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1043304140
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NamePHOENIX CLINIC, INC.
Location Address13730 NW 6TH CTNorth Miami, FL 33168-2931
Mailing Address13730 Nw 6th CtNorth Miami, FL 33168-2931 · (305) 891-3439
Organization SubpartNo
Authorized OfficialBonnie GrahamChief Executive Officer · (305) 891-3439
Enumeration DateOctober 3, 2006
Last NPPES UpdateAugust 27, 2008
NPI 1043304140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License Licensed in FL · 1113AD081801
13730 NW 6TH CT, North Miami, FL 33168

Other Identifiers 2

Medicare ID-Type Unspecified10-4993FL · Medicare Provider Number
Other1113AD081801FL · Substance Abuse License

Other Providers at the Same Location NPPES

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

Pharmacy (Clinic Pharmacy)
13730 NW 6TH CT
NORTH MIAMI, FL 33168

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 Clinic, Inc.'s NPI number?

The NPI number for Phoenix Clinic, Inc. is 1043304140. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is Phoenix Clinic, Inc. located?

Phoenix Clinic, Inc. is located at 13730 NW 6th Ct, North Miami, FL 33168. The listed phone number is (305) 891-3439.

What is Phoenix Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Phoenix Clinic, Inc. was last updated on August 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.