Active NPI
Solutions of Sobriety LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Phoenix, AZ
National Provider Identifier
1083371769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- SOLUTIONS OF SOBRIETY LLC
- Practice address
- 13832 N 32ND St Ste C136
Phoenix, AZ 85032-5613 - Phone
- (833) 607-6237
- NPI assigned
- Nov 17, 2021
- Last updated
- Nov 17, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patrick Legenzoff
- Title
- Owner
- Phone
- (901) 228-0269
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | ||
| Adult Mental Health Clinic/Center | 261QM0850X | NU | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | NU | Primary | |
| Community/Behavioral Health Agency | 251S00000X | NU |
Addresses
Primary practice location
13832 N 32ND St Ste C136
Phoenix, AZ 85032-5613
Mailing address
13832 N 32ND St Ste C136
Phoenix, AZ 85032-5613
Phone (833) 607-6237
Other practice location 1
1526 W Glendale Ave Ste 107
Phoenix, AZ 85021-8576
Phone (833) 607-6237
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760775837 | Medicaid | AZ | |
| 1972962082 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
13832 N 32nd St
Ste C136
Phoenix, AZ 85032
Phone (833) 607-6237
1526 W Glendale Ave
Ste 107
Phoenix, AZ 85021
Phone (602) 995-7279
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Glendale, AZ
- NPI 1760775837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1637107200000",
"number": "1083371769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13832 N 32ND ST STE C136",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850325613",
"telephone_number": "833-607-6237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13832 N 32ND ST STE C136",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850325613",
"telephone_number": "833-607-6237"
}
],
"practiceLocations": [
{
"address_1": "1526 W Glendale Ave Ste 107",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850218576",
"country_code": "US",
"telephone_number": "833-607-6237",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SOLUTIONS OF SOBRIETY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-17",
"last_updated": "2021-11-17",
"certification_date": "2021-11-17",
"status": "A",
"authorized_official_last_name": "LEGENZOFF",
"authorized_official_first_name": "PATRICK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "901-228-0269"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1760775837",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1972962082",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.