NPIMap

Organization Active NPI

Sonoran Sky Community Services

  • Mental Illness Community Based Residential Treatment Facility
  • Glendale, AZ
National Provider Identifier
1679019129
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
BH4769 Issued in AZ
Legal business name
SONORAN SKY COMMUNITY SERVICES
Practice address
19808 N 42ND Ave
Glendale, AZ 85308-2291
Phone
(623) 780-3583
Fax
(602) 674-0942
NPI assigned
Jan 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Debra Quiroz
Title
Regional Director
Phone
(602) 216-0518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X BH4769 AZ Primary

Addresses

Primary practice location

19808 N 42ND Ave
Glendale, AZ 85308-2291

Mailing address

23005 N 15TH Ave Ste 205
Phoenix, AZ 85027-6309
Phone (602) 216-0518

National Provider Directory

National Provider Directory
Tax ID family
Sonoran Sky Community Services15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1679019129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23005 N 15TH AVE STE 205",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850276309",
            "telephone_number": "602-216-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19808 N 42ND AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853082291",
            "telephone_number": "623-780-3583",
            "fax_number": "602-674-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORAN SKY COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "QUIROZ",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "602-216-0518"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH4769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.