PHOENIX BEHAVIORAL GROUP LLC
NPI 1902673031
Nurse Practitioner - Psychiatric/Mental Health in Naples, FL

Active since December 08, 2023
4949 TAMIAMI TRL N STE 202, NAPLES, FL 34103(239) 259-1659(239) 692-8264 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phoenix Behavioral Group Llc NPPES

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

PHOENIX BEHAVIORAL GROUP LLC (NPI 1902673031) is a healthcare organization registered as a psychiatric/mental health in Naples, Florida and active in the NPI registry since December 2023. The organization lists Johanny Ortiz, Mbr, as its authorized official.

NPPES Registry Identity

NPI1902673031
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePHOENIX BEHAVIORAL GROUP LLC
Location Address4949 TAMIAMI TRL N STE 202Naples, FL 34103-3017
Mailing Address4949 Tamiami Trl N Ste 202Naples, FL 34103-3017 · (239) 259-1659 · Fax (239) 692-8264
Fax(239) 692-8264
Organization SubpartNo
Authorized OfficialJohanny OrtizMbr · (239) 276-9464
Enumeration DateDecember 8, 2023
Last NPPES UpdateDecember 21, 2023
NPPES CertifiedDecember 21, 2023
NPI 1902673031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
4949 TAMIAMI TRL N STE 202, Naples, FL 34103

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 3

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

Nurse Practitioner (Psychiatric/Mental Health)
4949 TAMIAMI TRL N STE 202
NAPLES, FL 34103
Nurse Practitioner (Psychiatric/Mental Health)
4949 TAMIAMI TRL N STE 202
NAPLES, FL 34103
Counselor (Mental Health)
4949 TAMIAMI TRL N STE 202
NAPLES, FL 34103

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 Behavioral Group LLC's NPI number?

The NPI number for Phoenix Behavioral Group LLC is 1902673031. It was assigned to this organization in the NPPES registry on December 8, 2023.

Where is Phoenix Behavioral Group LLC located?

Phoenix Behavioral Group LLC is located at 4949 Tamiami Trl N Ste 202, Naples, FL 34103. The listed phone number is (239) 259-1659.

What is Phoenix Behavioral Group LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Phoenix Behavioral Group LLC was last updated on December 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.