1. Home
  2. Directory
  3. Connecticut
  4. East Hartford
  5. Community Behavioral Health
  6. NPI Profile

PHOENIX PROFESSIONAL SERVICES
NPI 1801214986
Community/Behavioral Health in East Hartford, CT

Active since April 04, 2014
29 CONNECTICUT BLVD, EAST HARTFORD, CT 06108(860) 778-1257 Get Directions Write a Review

NPPES record last updated: June 19, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phoenix Professional Services NPPES

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

PHOENIX PROFESSIONAL SERVICES (NPI 1801214986) is a healthcare organization registered as a community/behavioral health in East Hartford, Connecticut and active in the NPI registry since April 2014. The organization lists Tamar Draughn, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1801214986
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePHOENIX PROFESSIONAL SERVICES
Location Address29 CONNECTICUT BLVDEast Hartford, CT 06108-3008
Mailing Address29 Connecticut BlvdEast Hartford, CT 06108-3008 · (860) 778-1257
Phone(860) 778-1257
Organization SubpartNo
Authorized OfficialTamar DraughnClinical Director · (860) 680-9440
Enumeration DateApril 4, 2014
Last NPPES UpdateJune 19, 2014
✔ NPI 1801214986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in CT · 002311
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
29 CONNECTICUT BLVD, East Hartford, CT 06108
Open in Google Maps ↗

Other Identifiers 1

Medicaid008046849CT

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 Professional Services's NPI number?

The NPI number for Phoenix Professional Services is 1801214986. It was assigned to this organization in the NPPES registry on April 4, 2014.

Where is Phoenix Professional Services located?

Phoenix Professional Services is located at 29 Connecticut Blvd, East Hartford, CT 06108. The listed phone number is (860) 778-1257.

What is Phoenix Professional Services's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Phoenix Professional Services was last updated on June 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.