Active NPI
Sonora Behavioral Health Hospital, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- SONORA BEHAVIORAL HEALTH HOSPITAL, LLC
- Practice address
- 3130 E Broadway Blvd Ste 196
Tucson, AZ 85716-5863 - Phone
- (520) 399-8688
- NPI assigned
- Jan 26, 2017
- Last updated
- Jan 5, 2026
- 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
- Brian P. Farley
- Title
- VP & Secretary
- Phone
- (615) 861-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | NU | Primary |
Addresses
Primary practice location
3130 E Broadway Blvd Ste 196
Tucson, AZ 85716-5863
Mailing address
4020 Aspen Grove Dr Ste 900
Franklin, TN 37067-3134
Phone (615) 861-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 172145 | Medicaid | AZ |
Other names 1
- Sonora Behavioral Health - Outpatient Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070118000198 | AZ | Part A Provider - Hospital | 6406857440 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Tucson, AZ |
| O20071120000476 | AZ | Part B Supplier - Clinic/Group Practice | 6406857440 |
Receives reassigned benefits from 34 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Tucson, AZ |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1245777481. Details of each certification follow.
Hospital certification: CCN 034022
- Legal name
- SONORA BEHAVIORAL HEALTH HOSPITAL LLC
- Doing business as
- SONORA BEHAVIORAL HEALTH HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Psychiatric
- Participating since
- Oct 18, 2000
- Last certification
- Jan 27, 2018
- Beds
- 140
- Ownership / control type
- Private (for profit)
- Most recent change of ownership
- Dec 1, 2006 (1 total)
- Organization structure
- LLC
- Incorporated
- Oct 24, 2006 in DE
- Enrollment address
- 6050 N Corona Road Ste 3
Tucson, AZ 85704-1097 - Hospital subgroups
- Other
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Sonora Behavioral Health
- Psychiatric Hospital
- Tucson, AZ
- NPI 1750466892
O20070118000198, O20071120000476
Care Compare: Hospital
Medicare Care Compare- Listed as
- Sonora Behavioral Health Hospital
- Type
- Psychiatric
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
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 |
|---|---|---|---|
| 03D2133506 | Sonora Behavioral Health | Certificate of waiver | Jul 12, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Sonora Behavrl HLTH HSP LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatric Hospital
- Tucson, AZ
- NPI 1518925163
Locations
2001 W Orange Grove Rd
Ste 112
Tucson, AZ 85704
3130 E Broadway Blvd
Ste 196
Tucson, AZ 85716
Phone (520) 399-8688
Ownership & related parties
All disclosed owners & managing parties 9
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Deborah S Kraemer | W-2 Managing Employee | Jun 11, 2012 | |
| Hermitage Behavioral, LLC | 5% Or Greater Direct Ownership Interest | Dec 27, 2011 | 100% |
| Todd S Young | Corporate Officer | Oct 27, 2025 | |
| Acadia Healthcare Company Inc | 5% Or Greater Indirect Ownership Interest | Mar 1, 2012 | 100% |
| Stacie L Harty | W-2 Managing Employee | Jun 18, 2018 | |
| Brian Philip Farley | Corporate Officer | Jul 26, 2023 | |
| Alexandra D Albrecht | W-2 Managing Employee | Jun 3, 2025 | |
| Timothy a Sides | W-2 Managing Employee | Jun 5, 2023 | |
| Debra K Osteen | Corporate Officer | Jan 20, 2026 |
Practitioners & affiliated clinicians
Practitioners 30
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.
-
- Psychiatry Physician
- Tucson, AZ
- NPI 1629377916
-
- Psychiatry Physician
- Fort Huachuca, AZ
- NPI 1518060441
-
- Psychiatric/Mental Health Nurse Practitioner
- Tucson, AZ
- NPI 1053691980
-
- Psychiatry Physician
- Tucson, AZ
- NPI 1780659029
-
- Psychiatric/Mental Health Nurse Practitioner
- Marana, AZ
- NPI 1659037265
-
- Family Nurse Practitioner
- Tucson, AZ
- NPI 1255745840
-
- Psychiatry Physician
- Tucson, AZ
- NPI 1942256482
-
- Psychiatry Physician
- Tucson, AZ
- NPI 1720054299
-
- Child & Adolescent Psychiatry Physician
- Tucson, AZ
- NPI 1710994249
-
- Psychiatry Physician
- Tucson, AZ
- NPI 1033239942
-
- Psychiatric/Mental Health Nurse Practitioner
- Benson, AZ
- NPI 1417048356
-
- Psychiatry Physician
- Tucson, AZ
- NPI 1356653018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767571200000",
"number": "1245777481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4020 ASPEN GROVE DR STE 900",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370673134",
"telephone_number": "615-861-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 E BROADWAY BLVD STE 196",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857165863",
"telephone_number": "520-399-8688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SONORA BEHAVIORAL HEALTH HOSPITAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-26",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A",
"authorized_official_last_name": "FARLEY",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "VP & SECRETARY",
"authorized_official_telephone_number": "615-861-6000"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "172145",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sonora Behavioral Health - Outpatient Services",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Sonora Behavioral Health - Outpatient Services",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Tucson, AZ
- Nirali D Soni, M.D
- Scott Ethan Sonico, D.M.D.
- Sonya Sonive, RBT
- Joshua James Sonkiss, MD
- Sonora Behavioral Health Hospital
- Sonora Behavioral Health Hospital, LLC (Sonora Behavioral Health)
- Sonora Hearing Care, LLC
- Sonora Quest Laboratories LLC
- Sonora Quest Laboratories LLC
- Sonora Quest Laboratories LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.