PHOENIX BEHAVIORAL HEALTH LLC
NPI 1750891990
Pediatrics - Developmental - Behavioral Pediatrics in Ewing, NJ

NPI Status: Active since October 02, 2017

Contact Information

1014 WHITEHEAD ROAD EXT
EWING, NJ
ZIP 08638
Phone: (609) 771-3777

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  • Organization
  • Pediatrics
  • Developmental - Behavioral Pediatrics

About PHOENIX BEHAVIORAL HEALTH LLC

This page provides the complete NPI Profile along with additional information for Phoenix Behavioral Health Llc, a pediatrician established in Ewing, New Jersey operating as a Pediatrics, focusing in developmental - behavioral pediatrics . The healthcare provider is registered in the NPI registry with number 1750891990 assigned on October 2017. The practitioner's primary taxonomy code is 2080P0006X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Phil Fuhrer (Cfo)

NPI
1750891990
Provider Name
PHOENIX BEHAVIORAL HEALTH LLC
Entity Type
Organization
Location Address
1014 WHITEHEAD ROAD EXT EWING, NJ 08638
Location Phone
(609) 771-3777
Mailing Address
1014 WHITEHEAD ROAD EXT EWING, NJ 08638
Mailing Phone
(609) 771-3777
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-02-2017
Last Update Date
10-02-2017
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A pediatrician like Phoenix Behavioral Health Llc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

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

Pediatrics Developmental - Behavioral Pediatrics

Taxonomy Code
2080P0006X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

PHIL FUHRER

Authorized Official Title
CFO
Authorized Official Phone
(609) 771-3777

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
0468665MEDICAID (05)NJ 

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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.
1750891990
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001692918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 6 + 9 + 2 + 9 + 1 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1750891990 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1558803809 MARY JO ANNE KELLY PMHNP-BC
Individual
Nurse Practitioner (Psychiatric/Mental Health)1014 WHITEHEAD ROAD EXT
EWING, NJ 08638
(609) 771-3777
1356839369 DAYNA GIEL MSED, LPC
Individual
Counselor (Mental Health)1014 WHITEHEAD ROAD EXT
EWING, NJ 08638
(609) 771-3777
1144718156 CRYSTAL WASHINGTON
Individual
Counselor (Mental Health)1014 WHITEHEAD ROAD EXT
EWING, NJ 08638
(609) 771-3777
1386132397 GABRIELLE PETOSA
Individual
Counselor (Mental Health)1014 WHITEHEAD ROAD EXT
EWING, NJ 08638
(609) 771-3777
1811485824 HIMIE WESLEY BA
Individual
Counselor (Mental Health)1014 WHITEHEAD ROAD EXT
EWING, NJ 08638
(609) 771-3777
1255829263 ALAINA CHAPMAN BA
Individual
Counselor (Mental Health)1014 WHITEHEAD ROAD EXT
EWING, NJ 08638
(609) 771-3777
1881182897 FRANCESCA SCIROCCO
Individual
Counselor (Mental Health)1014 WHITEHEAD ROAD EXT
EWING, NJ 08638
(609) 771-3777
1659869576 JUSTIN DUNN
Individual
Counselor (Mental Health)1014 WHITEHEAD ROAD EXT
EWING, NJ 08638
(609) 771-3777
1316435266 PARIZATIS R ALAIE LCSW
Individual
Counselor (Addiction (Substance Use Disorder))1014 WHITEHEAD ROAD EXT
EWING, NJ 08638
(609) 771-3777
1013427251PHOENIX BEHAVIORAL HEALTH LLC
Organization
Clinic/Center1014 WHITEHEAD ROAD EXT
EWING, NJ 08638
(609) 771-3777
1528561933PHOENIX BEHAVIORAL HEALTH LLC
Organization
In Home Supportive Care1014 WHITEHEAD ROAD EXT
EWING, NJ 08638
(609) 771-3777
1275938193PHOENIX BEHAVIORAL HEALTH LLC
Organization
In Home Supportive Care1014 WHITEHEAD ROAD EXT
EWING, NJ 08638
(609) 771-3777
1992267132PHOENIX BEHAVIORAL HEALTH LLC
Organization
Clinic/Center (Multi-Specialty)1014 WHITEHEAD ROAD EXT
EWING, NJ 08638
(732) 239-3414
1427611185PHOENIX SUPPORT SERVICES LLC
Organization
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities1014 WHITEHEAD ROAD EXT
EWING, NJ 08638
(732) 239-3414
1992427983MR. DAN-ANH TRAN LPC
Individual
Counselor1014 WHITEHEAD ROAD EXT
EWING, NJ 08638
(640) 696-1476
1740992619 JEFFREY ROMANO
Individual
Counselor1014 WHITEHEAD ROAD EXT
EWING, NJ 08638
(609) 771-3777
1740992718 DYLAN GOODWIN
Individual
Counselor1014 WHITEHEAD ROAD EXT
EWING, NJ 08638
(609) 771-3777
1912619909 VIVIAN MEDINA
Individual
Counselor1014 WHITEHEAD ROAD EXT
EWING, NJ 08638
(609) 771-3777

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750891990, enumerated in the NPI registry as an "organization" on October 02, 2017

The provider is located at 1014 Whitehead Road Ext Ewing, Nj 08638 and the phone number is (609) 771-3777

This medical organization specializes in Pediatrics with taxonomy code 2080P0006X with a focus in Developmental - Behavioral Pediatrics

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 October 02, 2017. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.