PHOENIX HEALTHCARE, LLC
NPI 1679022651
Family Medicine - Addiction Medicine in Gloucester, MA

Q: What is Phoenix Healthcare, LLC's NPI number?

The NPI number for Phoenix Healthcare, LLC is 1679022651. It was assigned to this organization in the NPPES registry on October 1, 2016.

Q: What is Phoenix Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

Active since October 01, 2016

61 PROSPECT ST, GLOUCESTER, MA 01930(617) 669-3171 Get Directions Write a Review

NPPES record last updated: October 1, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Phoenix Healthcare, Llc NPPES

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

PHOENIX HEALTHCARE, LLC (NPI 1679022651) is a healthcare organization registered as an addiction medicine in Gloucester, Massachusetts and active in the NPI registry since October 2016. The organization lists Yvonne Smikle, Owner/member, as its authorized official.

NPPES Registry Identity

NPI1679022651

Entity TypeOrganization

Primary Taxonomy207QA0401X

Legal Business NamePHOENIX HEALTHCARE, LLC

Location Address61 PROSPECT STGloucester, MA 01930-5929

Mailing Address61 Prospect StGloucester, MA 01930-5929 · (617) 669-3171

Phone(617) 669-3171

Organization SubpartNo

Authorized OfficialYvonne SmikleOwner/member · (617) 669-3171

Enumeration DateOctober 1, 2016

✔ NPI 1679022651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QA0401X

License✔ Licensed in MA · 216727

Definition

A family medicine physician who specializes in the diagnosis and treatment of addictions.

61 PROSPECT ST, Gloucester, MA 01930

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

CAPE ANN COUNSELING, LLC

Counselor (Mental Health)

61 PROSPECT ST
GLOUCESTER, MA 01930

Essex County (978) 283-9797

MR. DANIEL F MCMANUS LMHC, LADCI, CADAC

Counselor (Mental Health)

61 PROSPECT ST
GLOUCESTER, MA 01930

Essex County (978) 283-9797

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 Healthcare, LLC's NPI number?

The NPI number for Phoenix Healthcare, LLC is 1679022651. It was assigned to this organization in the NPPES registry on October 1, 2016.

Where is Phoenix Healthcare, LLC located?

Phoenix Healthcare, LLC is located at 61 Prospect St, Gloucester, MA 01930. The listed phone number is (617) 669-3171.

What is Phoenix Healthcare, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

When was this NPI record last updated?

The NPPES record for Phoenix Healthcare, LLC was last updated on October 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.