Sendero de Sonora Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

BHH2327 Issued in AZ

Legal business name

SENDERO DE SONORA INC.

Practice address

2502 N Dodge Blvd
Suite 160
Tucson, AZ 85716-2671

Phone

(520) 618-8901

NPI assigned

Jan 24, 2008

Organization subpart

Yes

Parent organization

SONORA BEHAVIORAL HEALTHAs reported in NPPES

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

Authorized official

Name

Mr. George Wiese

Title

Chief Financial Officer

Phone

(520) 870-6618

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Sonora Behavioral HTLH Hosp

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1538346275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 N CALLE BUJIA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857186168",
            "telephone_number": "520-870-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 N DODGE BLVD",
            "address_2": "SUITE 160",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857162671",
            "telephone_number": "520-618-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENDERO DE SONORA INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SONORA BEHAVIORAL HEALTH",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "WIESE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "520-870-6618",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BHH2327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "827420-01",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariaelena Semko, LPC, NCC
• Shana Elizabeth Semmens, M.D.
• Elizabeth Semonsky, CCC-SLP
• Lilia F Sen, M.D.
• Jill Sena, LPC
• Sendero Medicine, PLLC
• Mark C Senese, MD
• Samantha Ann Senick, COTA
• Stefanie Senior
• Michael Darin Senne

• Mental Illness Community Based Residential Treatment Facility in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.