Organization
Phoenix Health Professional Group, LLC
Provider's NPPES record last updated: June 11, 2020
Overview
- Entity Type
- Organization
- NPI
- 1063037364
- Primary Specialty
- Psychologist — Addiction (Substance Use Disorder)
- Practice Location
- Providence, Rhode Island
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 8:36 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Psychologist
Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
Taxonomy code 103TA0400X Counselor
Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
Definition to come...
Taxonomy code 101YA0400XSocial Worker
Behavioral Health & Social Service Providers
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Taxonomy code 104100000XRegistered Nurse
Addiction (Substance Use Disorder)
Nursing Service Providers
Definition to come...
Taxonomy code 163WA0400X
Practice Locations
Practice Location
99 Wayland Ave Ste 100
Providence, Rhode Island 02906-4314
Phone: (617) 771-1154
Other Names
- Phoenix HealthReported June 11, 2020
Record Information
- Enumeration Date
- June 11, 2020
- Provider's NPPES Record Last Updated
- June 11, 2020
- Certification Date
- June 11, 2020
- NPISignal NPPES Dataset
- August 2026
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