Sober Space

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOBER SPACE

Practice address

2501 W Elm St
10
Phoenix, AZ 85017-3627

Phone

(602) 524-0583

NPI assigned

May 21, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Vern Johnson

Title

Owner

Phone

(602) 524-0583

Specialties & licenses 1

Addresses

Other names 1

• Vern Johnson Other name

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

{
    "created_epoch": "1400630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1841602182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44701",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850644701",
            "telephone_number": "602-524-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W ELM ST",
            "address_2": "10",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850173627",
            "telephone_number": "602-524-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOBER SPACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-21",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "VERN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-524-0583",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vern Johnson",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sobel Medical Consultants PC
• Audrey Joan Sobel, RPT
• Bruce Scott Sobel, D.O.
• Jerry Brian Sobel, MD
• Larry Robert Sobel, M.D., M.P.H.
• Sylvana Ofelia Soberon, DPT
• Khouloud Sobh, DMD
• Nura Sarah Sobhanian
• Sobhi Family Dentistry
• Sobriety Through Educational Peer Support

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2014; 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.