Active NPI
Placidity Wellness LLC
- Mental Illness Community Based Residential Treatment Facility
- Scottsdale, AZ
National Provider Identifier
1104635887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- PLACIDITY WELLNESS LLC
- Practice address
- 15601 N 51St PL
Scottsdale, AZ 85254-1614 - Phone
- (269) 519-4626
- NPI assigned
- Jan 6, 2025
- 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
- Mary Elizabeth Wicks
- Title
- Owner/Ceo
- Phone
- (269) 519-4626
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Primary |
Addresses
Primary practice location
15601 N 51St PL
Scottsdale, AZ 85254-1614
Mailing address
15601 N 51St PL
Scottsdale, AZ 85254-1614
Phone (696) 661-2586
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D2334217 | Placidity Wellness Dba Scottsdale Serenity Rehab | Certificate of waiver | Nov 17, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756252800000",
"number": "1104635887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15601 N 51ST PL",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852541614",
"telephone_number": "696-661-2586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15601 N 51ST PL",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852541614",
"telephone_number": "269-519-4626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLACIDITY WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-06",
"last_updated": "2025-08-27",
"certification_date": "2025-08-23",
"status": "A",
"authorized_official_last_name": "WICKS",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "269-519-4626"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.