PHOENIX PSYCHIATRIC SERVICES
NPI 1033489109
Clinic/Center - Adult Mental Health in Fall River, MA

NPI Status: Active since January 06, 2012

Contact Information

101 JEREMIAH SULLIVAN DR
FALL RIVER, MA
ZIP 02721
Phone: (774) 644-5629
Fax: (508) 678-8100

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  • Organization
  • Clinic/Center
  • Adult Mental Health

About PHOENIX PSYCHIATRIC SERVICES

This page provides the complete NPI Profile along with additional information for Phoenix Psychiatric Services, a provider established in Fall River, Massachusetts operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1033489109 assigned on January 2012. The practitioner's primary taxonomy code is 261QM0850X with license number 206747 (MA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Ms. Ewa M. Conroy Aprn (Owner)

NPI
1033489109
Provider Name
PHOENIX PSYCHIATRIC SERVICES
Entity Type
Organization
Location Address
101 JEREMIAH SULLIVAN DR FALL RIVER, MA 02721
Location Phone
(774) 644-5629
Location Fax
(508) 678-8100
Mailing Address
3338 N MAIN ST FALL RIVER, MA 02720
Mailing Phone
(508) 676-5514
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-06-2012
Last Update Date
01-06-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
License No.
206747
License State
MA
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. EWA M. CONROY APRN

Authorized Official Title
OWNER
Authorized Official Phone
(508) 676-5514

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
S86597MEDICARE UPIN (02)MA 
0380130MEDICAID (05)MA 
NP1932OTHER (01)MAMEDICARE B

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033489109
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2063881810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 8 + 8 + 1 + 8 + 1 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1033489109 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033489109, enumerated in the NPI registry as an "organization" on January 06, 2012

The provider is located at 101 Jeremiah Sullivan Dr Fall River, Ma 02721 and the phone number is (774) 644-5629

This medical organization specializes in Clinic/Center with taxonomy code 261QM0850X with a focus in Adult Mental Health

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 06, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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