Individual provider Active NPI

Sonja Louise Raciti, PSY.D.

  • Clinical Psychologist
  • Scottsdale, AZ
National Provider Identifier
1194966093
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4696 Issued in AZ
Practice address
8160 E Butherus Dr
Ste 5
Scottsdale, AZ 85260-2523
Phone
(210) 355-6207
Fax
(480) 383-6825
NPI assigned
Mar 23, 2009
Last updated
Nov 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1089 HI
Clinical Child & Adolescent Psychologist 103TC2200X
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 4696 AZ Primary

Addresses

Primary practice location

8160 E Butherus Dr
Ste 5
Scottsdale, AZ 85260-2523

Mailing address

8160 E Butherus Dr
Ste 5
Scottsdale, AZ 85260-2523
Phone (210) 355-6207

Other practice location 1

7219 N. Litchfield Rd, Bldg 1130
Behavioral Health
Luke AFB, AZ 85309
Phone (623) 856-7578

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160708000365 AZ Practitioner - Clinical Psychologist 3678865854 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healing Wounds LLCGroup PAC ID 1254623432, 3 clinicians

Practice addresses (Care Compare)

8160 E Butherus Dr
Suite 5
Scottsdale, AZ 85260-2523
Phone (210) 355-6207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4696AZMDClinical Psychologist
1089HIMDClinical Psychologist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1194966093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8160 E BUTHERUS DR",
            "address_2": "STE 5",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602523",
            "telephone_number": "210-355-6207",
            "fax_number": "480-383-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8160 E BUTHERUS DR",
            "address_2": "STE 5",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602523",
            "telephone_number": "210-355-6207",
            "fax_number": "480-383-6825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7219 N. Litchfield Rd, Bldg 1130",
            "address_2": "Behavioral Health",
            "address_purpose": "LOCATION",
            "city": "Luke AFB",
            "state": "AZ",
            "postal_code": "85309",
            "country_code": "US",
            "telephone_number": "623-856-7578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RACITI",
        "first_name": "SONJA",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-23",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "1089",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.