Organization Active NPI

Sonora Behavioral Health Hospital, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucson, AZ
National Provider Identifier
1245777481
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
172145MedicaidAZ

Other names 1

  • Sonora Behavioral Health - Outpatient Services Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
Incorporated
Oct 24, 2006 in DE
Enrollment address
6050 N Corona Road Ste 3
Tucson, AZ 85704-1097
Main/Primary Hospital Location
Hospital subgroups
Other

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Sonora Behavioral Health HospitalCCN 034022 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2133506Sonora Behavioral Health3130 E Broadway Blvd, Tucson, AZ 85716Certificate of waiverJul 12, 2027

National Provider Directory

National Provider Directory
Tax ID family
Sonora Behavrl HLTH HSP LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

NameRoleSinceShare
Deborah S Kraemer Individual W-2 Managing EmployeeVP of Business Office Operations Jun 11, 2012
Hermitage Behavioral, LLC Organization, Franklin, TN LLC, For-profit 5% Or Greater Direct Ownership Interest Dec 27, 2011 100%
Todd S Young Individual Corporate OfficerVice President & Treasurer Oct 27, 2025
Acadia Healthcare Company Inc Organization, Franklin, TN Corporation, For-profit, Chain home office 5% Or Greater Indirect Ownership Interest Mar 1, 2012 100%
Stacie L Harty Individual W-2 Managing EmployeeVice President of Managed Care Jun 18, 2018
Brian Philip Farley Individual Corporate OfficerVice President & Secretary Jul 26, 2023
Alexandra D Albrecht Individual W-2 Managing EmployeeFacility Chief Executive Officer Jun 3, 2025
Timothy a Sides Individual W-2 Managing EmployeeSenior VP Operations & Finance Jun 5, 2023
Debra K Osteen Individual Corporate OfficerPresident 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.

View all 30

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

Sources for this page

Verify at the official NPI Registry.