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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: November 01, 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
Phone(239) 259-1659
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
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phoenix Behavioral Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Phoenix Behavioral Group LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Johanny Ortiz
Nurse Practitioner
NPI 1154027746
4949 TAMIAMI TRL N STE 202
Naples, FL 34103
(239) 259-1659
✔ PECOS✔ Accepts MedicareSame address
Anna Orshowitz, PMHNP-C
Nurse Practitioner
NPI 1518817451
4949 TAMIAMI TRL N STE 202
Naples, FL 34103
(239) 259-1659
✔ PECOS7.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Phoenix Behavioral Group LLC enrolled in Medicare?

Yes. Phoenix Behavioral Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Phoenix Behavioral Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Phoenix Behavioral Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.