Sonia A Godbole, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

30408 Issued in AZ

Practice address

11801 N Tatum Blvd Ste 128
Phoenix, AZ 85028-1620

Phone

(602) 795-9980

Fax

(602) 795-9984

NPI assigned

Nov 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of Arizona College of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Premier Health and Wellness LLCGroup PAC ID 3072801224, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Premier Health & Wellness, LLC

  • Psychiatry Physician
  • Phoenix, AZ
  • NPI 1053710590
  Medicare reassignment Care Compare group NPD Authorized official
• Magellan Health Services of Arizona, Inc

  • Case Management Agency
  • Gilbert, AZ
  • NPI 1194965145
  NPD (past)
• Vo of Arizona, Inc.

  • Clinical Medical Laboratory
  • Glendale, AZ
  • NPI 1447458682
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1689752701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11801 N TATUM BLVD STE 128",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850281620",
            "telephone_number": "602-795-9980",
            "fax_number": "602-795-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 N TATUM BLVD STE 128",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850281620",
            "telephone_number": "602-795-9980",
            "fax_number": "602-795-9984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODBOLE",
        "first_name": "SONIA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "30408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "716847",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Go, M.D., PH.D.
• Melissa M Go, M.D.
• Gobal Medical Equipment of America, Inc.
• Bart Gobeli
• God'S Grace Assisted Living LLC
• Garry L Goddette, R.PH.
• Danielle Godfredsen, PSY.D.
• Geoffrey Lloyd Godfrey, FNP-C
• Linda Maritza Godineaux-Bond, R.N.
• Alicia Godinez, LMFT

• Psychiatry Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.