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PHOENIX HOUSE FOUNDATION
NPI 1336464965
Substance Abuse Rehabilitation Facility in Brentwood, NY

Active since April 07, 2010
998 CROOKED HILL RD, BUILDING 5, BRENTWOOD, NY 11717(631) 306-5740(631) 306-5885 Get Directions Write a Review

NPPES record last updated: April 7, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Phoenix House Foundation NPPES

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

PHOENIX HOUSE FOUNDATION (NPI 1336464965) is a healthcare organization registered as a substance abuse rehabilitation facility in Brentwood, New York and active in the NPI registry since April 2010. The organization lists Elan Daniel Robin, Senior Counselor, as its authorized official.

NPPES Registry Identity

NPI1336464965
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePHOENIX HOUSE FOUNDATION
Location Address998 CROOKED HILL RD, BUILDING 5Brentwood, NY 11717-1019
Mailing Address998 Crooked Hill Rd, Building 5Brentwood, NY 11717-1019 · (631) 306-5740
Phone(631) 306-5740
Fax(631) 306-5885
Organization SubpartNo
Authorized OfficialElan Daniel RobinSenior Counselor · (631) 306-5770
Enumeration DateApril 7, 2010
✔ NPI 1336464965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in NY · 080833-1
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.
998 CROOKED HILL RD, Brentwood, NY 11717
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Other Providers at the Same Location NPPES 20

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

MRS. NICAURIS FERNANDEZ RN
Registered Nurse (Psychiatric/Mental Health, Adult)
998 CROOKED HILL RD
WEST BRENTWOOD, NY 11717
Suffolk County (631) 761-3500
NANCY ROSENBERG
Registered Nurse (Psychiatric/Mental Health)
998 CROOKED HILL RD
WEST BRENTWOOD, NY 11717
Suffolk County (631) 761-3500
AMALIE ETIENNE RN
Registered Nurse (Psychiatric/Mental Health)
998 CROOKED HILL RD
WEST BRENTWOOD, NY 11717
Suffolk County (631) 761-3500
LAURA SHERELL CURRIE RN
Licensed Practical Nurse
998 CROOKED HILL RD
BRENTWOOD, NY 11717
Suffolk County (631) 761-3500
SERGIO M BERNADIN RN
Registered Nurse
998 CROOKED HILL RD
WEST BRENTWOOD, NY 11717
Suffolk County (631) 761-3500
DR. MARC MENTIS M.D.
Psychiatry & Neurology (Psychiatry)
998 CROOKED HILL RD
WEST BRENTWOOD, NY 11717
Suffolk County (631) 761-3016
MR. MICHAEL DAY FERGUSON LCSW
Social Worker (Clinical)
998 CROOKED HILL RD
WEST BRENTWOOD, NY 11717
Suffolk County (631) 761-2204
KAREN M. O'KEEFE LCSW-R, CASAC
Social Worker (Clinical)
998 CROOKED HILL RD, BUILDING 56
W BRENTWOOD, NY 11717
Suffolk County (631) 761-2177

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 Foundation's NPI number?

The NPI number for Phoenix House Foundation is 1336464965. It was assigned to this organization in the NPPES registry on April 7, 2010.

Where is Phoenix House Foundation located?

Phoenix House Foundation is located at 998 Crooked Hill Rd Building 5, Brentwood, NY 11717. The listed phone number is (631) 306-5740.

What is Phoenix House Foundation'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 Foundation was last updated on April 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.