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PHOENIX HOUSE FOUNDATION
NPI 1790844520
Substance Abuse Rehabilitation Facility in Long Island City, NY

Active since December 07, 2006
3411 VERNON BLVD, LONG ISLAND CITY, NY 11106(718) 726-8484 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 NPPES

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

PHOENIX HOUSE FOUNDATION (NPI 1790844520) is a healthcare organization registered as a substance abuse rehabilitation facility in Long Island City, New York and active in the NPI registry since December 2006. The organization lists Joyce Lorraine Bernabo, Rn, as its authorized official.

NPPES Registry Identity

NPI1790844520
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePHOENIX HOUSE FOUNDATION
Location Address3411 VERNON BLVDLong Island City, NY 11106-5121
Mailing Address9328 85th RdWoodhaven, NY 11421-1418 · (718) 846-8187
Phone(718) 726-8484
Organization SubpartNo
Authorized OfficialJoyce Lorraine BernaboRn · (718) 726-8484
Enumeration DateDecember 7, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1790844520 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 · 414715-1
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.
3411 VERNON BLVD, Long Island City, NY 11106
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Other Providers at the Same Location NPPES 8

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

SHELBI DALE FERBER LCSW
Social Worker (Clinical)
3411 VERNON BLVD
LONG ISLAND CITY, NY 11106
Queens County (646) 505-2003
BARBARA ENID CHAPMAN CASAC, COUNSELOR
Counselor (Addiction (Substance Use Disorder))
3411 VERNON BLVD
ASTORIA, NY 11106
Queens County (646) 505-2003
JACOB MARCUS WEISS LMSW
Social Worker
3411 VERNON BLVD
ASTORIA, NY 11106
Queens County (646) 505-2003
DAMIAN FAMILY CARE CENTERS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
3411 VERNON BLVD
LONG ISLAND CITY, NY 11106
Queens County (212) 595-5810
MISS JENNY YEUP DENTAL HYGIENIST
Dental Hygienist
3411 VERNON BLVD
ASTORIA, NY 11106
Queens County (718) 726-8484
MARGARET BERNSTEIN
Social Worker
3411 VERNON BLVD
LONG ISLAND CITY, NY 11106
Queens County (646) 505-2003
SABRINA MARTINEZ ANTHONY PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
3411 VERNON BLVD
ASTORIA, NY 11106
Queens County (347) 630-8401
RYAN TURNER MHC-LP
Counselor (Mental Health)
3411 VERNON BLVD
ASTORIA, NY 11106
Queens County (646) 505-2003

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 1790844520. It was assigned to this organization in the NPPES registry on December 7, 2006.

Where is Phoenix House Foundation located?

Phoenix House Foundation is located at 3411 Vernon Blvd, Long Island City, NY 11106. The listed phone number is (718) 726-8484.

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 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.