Active NPI
St. Sophie's, LLC
- Adult Mental Health Clinic/Center
- Paradise Valley, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 7174
- Legal business name
- ST. SOPHIE'S, LLC
- Practice address
- 5045 E Cottontail Run Rd
Paradise Valley, AZ 85253-3316 - Phone
- (701) 365-4488
- Fax
- (701) 365-4127
- NPI assigned
- Mar 28, 2012
- Last updated
- Mar 28, 2012
- 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
- Dr. Emmet Michael Kenney Jr., MD
- Title
- President/Ceo
- Phone
- (701) 365-4488
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 7174 | ND | Primary |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | 7174 | ND |
Addresses
Primary practice location
5045 E Cottontail Run Rd
Paradise Valley, AZ 85253-3316
Mailing address
3120Z 25TH St S # 340
Fargo, ND 58103-5054
Phone (701) 365-4488
National Provider Directory
National Provider Directory- Tax ID family
- St Sophies LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
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.
-
- Child & Adolescent Psychiatry Physician
- Fargo, ND
- NPI 1902998081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1332892800000",
"number": "1336415942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3120Z 25TH ST S # 340",
"city": "FARGO",
"state": "ND",
"postal_code": "581035054",
"telephone_number": "701-365-4488",
"fax_number": "701-365-4127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5045 E COTTONTAIL RUN RD",
"city": "PARADISE VALLEY",
"state": "AZ",
"postal_code": "852533316",
"telephone_number": "701-365-4488",
"fax_number": "701-365-4127"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. SOPHIE'S, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-28",
"last_updated": "2012-03-28",
"status": "A",
"authorized_official_last_name": "KENNEY",
"authorized_official_first_name": "EMMET",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "701-365-4488",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "ND",
"license": "7174",
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "ND",
"license": "7174",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paradise Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.