PHOENIX NP IN PSYCHIATRY AND NP IN ADULT HEALTH SERVICES PLLC
NPI 1932062247
Nurse Practitioner - Psychiatric/Mental Health in South Ozone Park, NY

Active since December 03, 2025
12630 146TH ST, SOUTH OZONE PARK, NY 11436(347) 731-1563 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 11, 2026, Dec 3, 2025 (2 updates tracked since 2025).

About Phoenix Np In Psychiatry And Np In Adult Health Services Pllc NPPES

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

PHOENIX NP IN PSYCHIATRY AND NP IN ADULT HEALTH SERVICES PLLC (NPI 1932062247) is a healthcare organization registered as a psychiatric/mental health in South Ozone Park, New York and active in the NPI registry since December 2025. The organization lists Bernadette L Mayers, Ceo, as its authorized official.

NPPES Registry Identity

NPI1932062247
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePHOENIX NP IN PSYCHIATRY AND NP IN ADULT HEALTH SERVICES PLLC
Location Address12630 146TH STSouth Ozone Park, NY 11436-1910
Mailing Address12630 146th StSouth Ozone Park, NY 11436-1910 · (347) 731-1563
Organization SubpartNo
Authorized OfficialBernadette L MayersCeo · (347) 731-1563
Enumeration DateDecember 3, 2025
Last NPPES UpdateMarch 11, 20262 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
✔ NPI 1932062247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
12630 146TH ST, South Ozone Park, NY 11436

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

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 Np In Psychiatry And Np In Adult Health Services Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Phoenix Np In Psychiatry And Np In Adult Health Services PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1265771406
12630 146TH ST FL 8
South Ozone Park, NY 11436
(347) 731-1563
✔ PECOSSame address

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 Np In Psychiatry And Np In Adult Health Services PLLC's NPI number?

The NPI number for Phoenix Np In Psychiatry And Np In Adult Health Services PLLC is 1932062247. It was assigned to this organization in the NPPES registry on December 3, 2025.

Where is Phoenix Np In Psychiatry And Np In Adult Health Services PLLC located?

Phoenix Np In Psychiatry And Np In Adult Health Services PLLC is located at 12630 146th St, South Ozone Park, NY 11436. The listed phone number is (347) 731-1563.

What is Phoenix Np In Psychiatry And Np In Adult Health Services PLLC's specialty?

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

Is Phoenix Np In Psychiatry And Np In Adult Health Services PLLC enrolled in Medicare?

Yes. Phoenix Np In Psychiatry And Np In Adult Health Services PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Phoenix Np In Psychiatry And Np In Adult Health Services PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Phoenix Np In Psychiatry And Np In Adult Health Services PLLC. 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. 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 Np In Psychiatry And Np In Adult Health Services PLLC was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.