SONORAN SKY COMMUNITY SERVICES (NPI# 1619413283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619413283 |
| Entity Type | Organization |
| Organization Name | SONORAN SKY COMMUNITY SERVICES |
| Practice Address |
5650 W Desert Jewel Dr Glendale AZ 85302-4664 |
| Mailing Address |
9601 N Black Canyon Hwy Phoenix AZ 85021-2702 |
| Practice Telephone | 6234667432 |
| Practice Fax Number | 6026740942 |
| Mailing Telephone | 6022160518 |
| Mailing Fax Number | 6026740942 |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |
| Authorized Official Name | SUSAN SOYARS (DIRECTOR) |
| Authorized Official Telephone | 6022160518 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | BH4806 | AZ | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528504826 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 4214 W Behrend Dr, Glendale, AZ 85308-2284 | 2017-01-10 |
| 1134665680 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 4912 W Echo Ln, Glendale, AZ 85302-6315 | 2017-01-09 |
| 1588100036 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 8028 N 56th Ln, Glendale, AZ 85302-4661 | 2017-01-09 |
| 1679019129 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 19808 N 42nd Ave, Glendale, AZ 85308-2291 | 2017-01-09 |
| 1710423389 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 3912 W Potter Dr, Glendale, AZ 85308-4605 | 2017-01-06 |
| 1366988933 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5148 W. Frier Dr, Glendale, AZ 85301 | 2017-01-06 |
| 1770029340 | Sonoran Sky Community Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4226 W. Marco Polo, Glendale, AZ 85308 | 2017-01-06 |
| 1255877825 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5651 W. Harmont Dr, Glendale, AZ 85302 | 2017-01-06 |
| 1629514294 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 3913 W Lone Cactus Dr, Glendale, AZ 85308-4700 | 2017-01-06 |
| 1538605100 | Sonoran Sky Community Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4508 W El Caminito Dr, Glendale, AZ 85302-6513 | 2017-01-06 |
| Street Address |
5650 W DESERT JEWEL DR |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85302-4664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736190 | Tyler Davis LLC | Psychologist | 8607 N 59th Ave Suite C-6, Glendale, AZ 85302 | 2020-10-05 |
| 1679098420 | Sidney M Kingery | Physical Therapist | 5810 W Peoria Ave, Glendale, AZ 85302 | 2017-08-12 |
| 1255877825 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5651 W. Harmont Dr, Glendale, AZ 85302 | 2017-01-06 |
| 1346696382 | Megan Mari Byrne | Chiropractor | 8425 N 61st Dr., Glendale, AZ 85302 | 2016-05-09 |
| 1558742007 | Farzan Mojgani | Dentist | 5929 W. Peoria Ave. Suite 101, Glendale, AZ 85302 | 2015-06-10 |
| 1255757308 | Glendale Modern Dentistry, LLP | Dentist | 5143 West Olive Ave, Suite 140, Glendale, AZ 85302 | 2014-03-13 |
| 1518391341 | Crystal Nicole-marie Whitman | Physical Therapy Assistant | 5411 W. Cinnabar Ave., Glendale, AZ 85302 | 2013-08-28 |
| 1013349570 | A New Leaf | Clinic/Center | 8581 N 61st Ave, Building A, Suite 101-102, Glendale, AZ 85302 | 2013-08-06 |
| 1255602439 | Alicia S Fennemore | Specialist/Technologist | 352 E. Camelback Rd., Suite 102, Phoenix, AZ 85302 | 2012-01-20 |
| 1639306731 | Total Medical Care, LLC | Clinic/Center | 5048 W. Northern Avenue, Suite 105, Glendale, AZ 85302 | 2009-06-16 |
| Find all providers in zip 85302 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619505054 | Joy Recovery and Behavioral Health, LLC | Community Based Residential Treatment Facility, Mental Illness | 24212 N 42nd Dr, Glendale, AZ 85310-3232 | 2020-03-31 |
| 1275163214 | Alpine Villa LLC | Community Based Residential Treatment Facility, Mental Illness | 17219 N Lindner Dr, Glendale, AZ 85308-3308 | 2020-01-17 |
| 1730607300 | Sonoran Sky Community, Inc. | Community Based Residential Treatment Facility, Mental Illness | 5710 W Orchid Ln, Glendale, AZ 85302-4654 | 2017-09-05 |
| 1861932097 | Ska-shifra Facility | Community Based Residential Treatment Facility, Mental Illness | 7136 N 73rd Dr, Glendale, AZ 85303-2569 | 2017-03-07 |
| 1528504826 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 4214 W Behrend Dr, Glendale, AZ 85308-2284 | 2017-01-10 |
| 1134665680 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 4912 W Echo Ln, Glendale, AZ 85302-6315 | 2017-01-09 |
| 1588100036 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 8028 N 56th Ln, Glendale, AZ 85302-4661 | 2017-01-09 |
| 1679019129 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 19808 N 42nd Ave, Glendale, AZ 85308-2291 | 2017-01-09 |
| 1710423389 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 3912 W Potter Dr, Glendale, AZ 85308-4605 | 2017-01-06 |
| 1366988933 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5148 W. Frier Dr, Glendale, AZ 85301 | 2017-01-06 |
| Find all providers in GLENDALE | ||||
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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.