| Sunshine Valley Psychiatric Services, Llc | |
|
7600 N. 15th Street Suite 150 Phoenix AZ 85020 | |
| (623) 329-3550 | |
| Not Available |
| Full Name | Sunshine Valley Psychiatric Services, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 7600 N. 15th Street, Phoenix, Arizona |
| Authorized Official Name and Position | Mark Gregory Sonenschein (PMHNP-BC) |
| Authorized Official Contact | 6233293550 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunshine Valley Psychiatric Services, Llc 2760 W Peoria Ave Phoenix AZ 85029-5202 Ph: (623) 329-3550 | Sunshine Valley Psychiatric Services, Llc 7600 N. 15th Street Suite 150 Phoenix AZ 85020 Ph: (623) 329-3550 |
| NPI Number | 1881371607 |
|---|---|
| Provider Enumeration Date | 07/03/2023 |
| Last Update Date | 07/03/2023 |
| Certification Date | 06/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881371607 | NPI | - | NPPES |
| 1457816597 | Medicaid | AZ | |
| 1124735006 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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