Provider Demographics
NPI:1679380794
Name:FENIX BEHAVIORAL WELLNESS
Entity type:Organization
Organization Name:FENIX BEHAVIORAL WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GERARDO ARROYO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:551-298-6971
Mailing Address - Street 1:PO BOX 26
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-0026
Mailing Address - Country:US
Mailing Address - Phone:551-298-6971
Mailing Address - Fax:
Practice Address - Street 1:210 RIVER ST STE 24
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-7504
Practice Address - Country:US
Practice Address - Phone:551-298-6971
Practice Address - Fax:608-409-3224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-12
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty