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PHOENIX HOUSEOF NY, INC.
NPI 1710122536
Social Worker - Clinical in East Hampton, NY

Active since December 08, 2008
283 SPRINGS FIREPLACE RD, EAST HAMPTON, NY 11937(631) 329-0373(631) 907-9345 Get Directions Write a Review

NPPES record last updated: December 8, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phoenix Houseof Ny, Inc. NPPES

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

PHOENIX HOUSEOF NY, INC. (NPI 1710122536) is a healthcare organization registered as a clinical in East Hampton, New York and active in the NPI registry since December 2008. The organization lists Michele Rothar, Social Worker, as its authorized official.

NPPES Registry Identity

NPI1710122536
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePHOENIX HOUSEOF NY, INC.
Location Address283 SPRINGS FIREPLACE RDEast Hampton, NY 11937-4823
Mailing Address283 Springs Fireplace RdEast Hampton, NY 11937-4823 · (631) 329-0373 · Fax (631) 907-9345
Phone(631) 329-0373
Fax(631) 907-9345
Organization SubpartNo
Authorized OfficialMichele RotharSocial Worker · (631) 329-0373
Enumeration DateDecember 8, 2008
✔ NPI 1710122536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 069641
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
283 SPRINGS FIREPLACE RD, East Hampton, NY 11937
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. JOHN JOSEPH MCGOVERN LCSW, PH.D.
Social Worker (Clinical)
283 SPRINGS FIREPLACE RD
EAST HAMPTON, NY 11937
Suffolk County (631) 329-0373

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 Houseof Ny, Inc.'s NPI number?

The NPI number for Phoenix Houseof Ny, Inc. is 1710122536. It was assigned to this organization in the NPPES registry on December 8, 2008.

Where is Phoenix Houseof Ny, Inc. located?

Phoenix Houseof Ny, Inc. is located at 283 Springs Fireplace Rd, East Hampton, NY 11937. The listed phone number is (631) 329-0373.

What is Phoenix Houseof Ny, Inc.'s specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Phoenix Houseof Ny, Inc. was last updated on December 8, 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.