AZ SOBER LIVING & BEHAVIORAL HEALTH GROUP, LLC (NPI# 1538683081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538683081 |
| Entity Type | Organization |
| Organization Name | AZ SOBER LIVING & BEHAVIORAL HEALTH GROUP, LLC |
| Practice Address |
2920 N 24th Ave Ste 120 Phoenix AZ 85015-5958 |
| Mailing Address |
2920 N 24th Ave Ste 150 Phoenix AZ 85015-5959 |
| Practice Telephone | (623) 302-9213 |
| Mailing Telephone | 6233029213 |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2018-01-31 |
| Authorized Official Name | DR. WALDECK CHARLES (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6023157033 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
2920 N 24TH AVE STE 120 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85015-5958 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610310 | Leticia Karina Maria Lelli | Student in an Organized Health Care Education/Training Program | 4760 N. 20th Ave, Phx, AZ 85015 | 2020-08-18 |
| 1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
| 1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
| 1407230964 | Sean Noonan | Optometrist | 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 | 2015-07-15 |
| 1295141620 | Yehia Saleh | Pharmacist | 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 | 2014-07-07 |
| 1295160380 | Journey To Prosperity | Custodial Care Facility | 1623 W Denton, Phoenix, AZ 85015 | 2013-09-07 |
| 1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
| 1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
| 1689933947 | Modern Dental Professionals - Arizona PC | Dentist | 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 | 2012-05-08 |
| 1528360674 | Fatima Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2025 W Indian School Road, #705, Phoenix, AZ 85015 | 2010-11-23 |
| Find all providers in zip 85015 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629689922 | Cerebro Wellness LLC | Psychiatry & Neurology | 3031 W Northern Ave Ste 109, Phoenix, AZ 85051-6695 | 2020-08-11 |
| 1972121218 | Laxus Integrated Health Solutions LLC | Psychiatry & Neurology | 11225 N 28th Dr Ste A102-4, Phoenix, AZ 85029-5606 | 2020-07-13 |
| 1184257032 | Actify Neurotherapies, Pllc | Psychiatry & Neurology | 10720 W Indian School Rd Ste 19, Phoenix, AZ 85037-5799 | 2020-02-19 |
| 1912461856 | Mobile Medical LLC | Psychiatry & Neurology | 4120 N 108th Ave Ste 116, Phoenix, AZ 85037-5773 | 2019-01-24 |
| 1063900835 | Arizona Tms Therapy Center | Psychiatry & Neurology | 4602 N 16th St Ste 201, Phoenix, AZ 85016-5161 | 2018-04-27 |
| 1427565977 | Tanner Community Development Corporation | Psychiatry & Neurology | 700 E Jefferson St Ste 200, Phoenix, AZ 85034-2202 | 2018-01-05 |
| 1457860561 | Bianca Yvonne Lopez | Psychiatry & Neurology | 3001 N. 33rd Ave, Phoenix, AZ 85017 | 2017-09-21 |
| 1558715490 | Aaron Kramer | Psychiatry & Neurology | 16841 N 31st Ave Ste 170, Phoenix, AZ 85053-3080 | 2016-04-18 |
| 1104244300 | Jacob N Stein | Psychiatry & Neurology | 12424 N 32nd St Ste 100, Phoenix, AZ 85032-7156 | 2014-04-03 |
| 1902232408 | John A Liebert, Md PC | Psychiatry & Neurology | 5450 E High St, Suite 300, Phoenix, AZ 85054-5458 | 2013-09-17 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.