Phoenix Academy - Mental Health Clinic in San Rafael, CA

Phoenix Academy is a mental health clinic (Community/behavioral Health) in San Rafael, California. The current practice location for Phoenix Academy is 160b N San Pedro Rd, Rm 7 And Rm9, San Rafael, California. For appointments, you can reach them via phone at (415) 491-0218. The mailing address for Phoenix Academy is 171 Carlos Dr, San Rafael, California and phone number is (415) 444-5580.

Phoenix Academy is licensed to practice in * (Not Available) (license number ) and its NPI number is 1326221565. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (415) 491-0218.

Contact Information

Phoenix Academy
160b N San Pedro Rd
Rm 7 And Rm9
San Rafael
CA 94903-4206
(415) 491-0218
Not Available

Map and Direction


Mental Health Clinic Profile

Full NamePhoenix Academy
SpecialityCommunity/behavioral Health
Location160b N San Pedro Rd, San Rafael, California
Authorized Official Name and PositionDonald Bruce Blasky (CHIEF PROGRAM OFFICER)
Authorized Official Contact4157552311
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Phoenix Academy
171 Carlos Dr
San Rafael
CA 94903-2005

Ph: (415) 444-5580
Phoenix Academy
160b N San Pedro Rd
Rm 7 And Rm9
San Rafael
CA 94903-4206

Ph: (415) 491-0218

NPI Details:

NPI Number1326221565
Provider Enumeration Date12/11/2007
Last Update Date08/02/2021
Certification Date08/02/2021

Medical Identifiers

Medical identifiers for Phoenix Academy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326221565NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
251S00000XCommunity/behavioral Health (* (Not Available))Primary

Reviews and Comments

Community/Behavioral Health in San Rafael, CA

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.