Sozo Wellness Centers of America LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SOZO WELLNESS CENTERS OF AMERICA LLC

Practice address

100 Biddle Ave Ste 204
Newark, DE 19702-3981

Phone

(678) 296-0842

Fax

(770) 671-1951

NPI assigned

Feb 18, 2022

Organization subpart

No

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

Authorized official

Name

Ronald TyreeNPI 1083389324

Title

Pmhnp

Phone

(678) 296-0842

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald James Tyree, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Wilmington, DE
  • NPI 1083389324
  Medicare reassignment Care Compare group NPD Authorized official
• David Torres, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Middletown, DE
  • NPI 1841017290
  Medicare reassignment Care Compare group NPD
• Shildia L. Jones

  • Psychiatric/Mental Health Nurse Practitioner
  • Easton, PA
  • NPI 1336867829

  DE

  Medicare reassignment NPD

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1386399285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 PEACHTREE INDUSTRIAL BLVD STE 213",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978171",
            "telephone_number": "678-296-0842",
            "fax_number": "770-671-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BIDDLE AVE STE 204",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197023981",
            "telephone_number": "678-296-0842",
            "fax_number": "770-671-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOZO WELLNESS CENTERS OF AMERICA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-18",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "TYREE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "678-296-0842"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Delaware Sportscare and Rehabilitation, LLC
• Sovhealth Properties, LLC
• Jennifer Soviero, DC, CFNMP
• David T Sowa, MD
• Cem Soykan, MD
• Joshua M Spada, DO, DPT
• Ryan Christopher Spadin, PA-C
• Stephanie Lyn Spangler, D.O
• Terry A. Speaks, FNP
• Michael L Spear, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Newark, DE
• Providers in Newark, DE by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.