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PHOENIX HOUSE FOUNDATION, INC.
NPI 1639247653
Clinic/Center - Multi-Specialty in New York, NY

Active since November 30, 2006
164 W 74TH ST, NEW YORK, NY 10023(718) 222-6600(718) 576-2866 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phoenix House Foundation, Inc. NPPES

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

PHOENIX HOUSE FOUNDATION, INC. (NPI 1639247653) is a healthcare organization registered as a multi-specialty in New York, New York and active in the NPI registry since November 2006. The organization lists Kevin Kirchoff, Sr. Vice President, Cfo, as its authorized official.

NPPES Registry Identity

NPI1639247653
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePHOENIX HOUSE FOUNDATION, INC.
Location Address164 W 74TH STNew York, NY 10023-2301
Mailing Address50 Jay St, 3rs FlBrooklyn, NY 11201-1144 · (718) 222-6600 · Fax (718) 576-2866
Phone(718) 222-6600
Fax(718) 576-2866
Organization SubpartNo
Authorized OfficialKevin KirchoffSr. Vice President, Cfo · (212) 595-5810
Enumeration DateNovember 30, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1639247653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in NY · 7002298R
164 W 74TH ST, New York, NY 10023
Open in Google Maps ↗

Other Identifiers 1

Medicaid00371673NY

Other Providers at the Same Location NPPES 6

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

PHOENIX HOUSE FOUNDATION
Clinic/Center (Adult Mental Health)
164 W 74TH ST
NEW YORK, NY 10023
New York County (212) 595-5810
MRS. TESSA A VINING LCSW
Social Worker (Clinical)
164 W 74TH ST
NEW YORK, NY 10023
New York County (646) 505-2175
PHOENIX HOUSES OF NEW YORK, INC.
Substance Abuse Rehabilitation Facility
164 W 74TH ST
NEW YORK, NY 10023
New York County (718) 222-6600
DR. CHRISTOPHER STEPHENS RANDOLPH M.D.
Internal Medicine
164 W 74TH ST
NEW YORK, NY 10023
New York County (718) 726-8484
MS. EMILY MIRANDA PATULSKI LMSW
Social Worker
164 W 74TH ST
NEW YORK, NY 10023
New York County (646) 505-2000
ASHLEY BAGLIERI
Social Worker (Clinical)
164 W 74TH ST
NEW YORK, NY 10023
New York County (646) 505-2045

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, Inc.'s NPI number?

The NPI number for Phoenix House Foundation, Inc. is 1639247653. It was assigned to this organization in the NPPES registry on November 30, 2006.

Where is Phoenix House Foundation, Inc. located?

Phoenix House Foundation, Inc. is located at 164 W 74th St, New York, NY 10023. The listed phone number is (718) 222-6600.

What is Phoenix House Foundation, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Phoenix House Foundation, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.