PHOENIX BEHAVIORAL HEALTH LLC
NPI 1073070900
Clinic/Center - Rehabilitation, Substance Use Disorder in Cherry Hill, NJ

Active since February 27, 2019CLIA 31D2190596 · Waiver
102 BROWNING LN STE C2, CHERRY HILL, NJ 08003(609) 771-3777 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2024, Feb 27, 2019 (2 updates tracked since 2019).

About Phoenix Behavioral Health Llc NPPES

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

PHOENIX BEHAVIORAL HEALTH LLC (NPI 1073070900) is a healthcare organization registered as a rehabilitation, substance use disorder in Cherry Hill, New Jersey and active in the NPI registry since February 2019. The organization holds a CLIA Waiver certificate valid through August 16, 2026 and lists Phil Fuhrer, Cfo, as its authorized official.

NPPES Registry Identity

NPI1073070900
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NamePHOENIX BEHAVIORAL HEALTH LLC
Location Address102 BROWNING LN STE C2Cherry Hill, NJ 08003-3195
Mailing Address1014 Whitehead Road ExtEwing, NJ 08638-2406 · (732) 239-3414
Organization SubpartNo
Authorized OfficialPhil FuhrerCfo · (609) 771-3777
Enumeration DateFebruary 27, 2019
Last NPPES UpdateJune 19, 20242 updates tracked since enumeration
NPPES CertifiedJune 19, 2024
NPI 1073070900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
102 BROWNING LN STE C2, Cherry Hill, NJ 08003

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 31D2190596

Phoenix Behavioral Health · Cherry Hill, NJ
Active · expires Aug 16, 2026
CLIA Number31D2190596
Laboratory TypeCommunity Clinic
Certificate Effective DateAugust 17, 2024
Certificate Expiration DateAugust 16, 2026
Laboratory DirectorBillie Jo Stuto
Laboratory Phone(609) 323-1488
Laboratory LocationPhoenix Behavioral Health102 Browning Lane Building C, Suite 2, Cherry Hill, NJ 08003
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Clinic/Center (Adult Mental Health)
102 BROWNING LN STE C2
CHERRY HILL, NJ 08003

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 1073070900. It was assigned to this organization in the NPPES registry on February 27, 2019.

Where is Phoenix Behavioral Health LLC located?

Phoenix Behavioral Health LLC is located at 102 Browning Ln Ste C2, Cherry Hill, NJ 08003. 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, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Phoenix Behavioral Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2190596) is associated with this NPI, valid through August 16, 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 June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.