PHOENIX BEHAVIORAL HEALTH LLC NPI 1750891990

NPI Information

  • NPI: 1750891990
  • Provider Name: PHOENIX BEHAVIORAL HEALTH LLC
  • Classification: Pediatrics - 2080P0006X
  • Specialization: Developmental - Behavioral Pediatrics
  • Entity Type: Organization
  • Address: 1014 WHITEHEAD ROAD EXT
    EWING, NJ
    ZIP 08638
  • Phone: (609) 771-3777

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NPI Details

PHOENIX BEHAVIORAL HEALTH LLC is a developmental - behavioral pediatrics pediatrics in Ewing, NJ. The provider is 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. PHOENIX BEHAVIORAL HEALTH LLC NPI is 1750891990. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1014 WHITEHEAD ROAD EXT
EWING, NJ
ZIP 08638-406
Phone: (609) 771-3777

The provider's authorized official is Phil Fuhrer .
The authorized official title is Cfo and has the following contact phone number (609) 771-3777.

The enumeration date for this NPI number is 10/2/2017 and was last updated on 10/2/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080P0006XPediatricsDevelopmental - Behavioral PediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10468665MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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