Active NPI
Sunshine Valley Psychiatric Services, LLC
- Child & Adolescent Psychiatry Physician
- Phoenix, AZ
National Provider Identifier
1881371607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- Legal business name
- SUNSHINE VALLEY PSYCHIATRIC SERVICES, LLC
- Practice address
- 7600 N. 15TH Street
Suite 150
Phoenix, AZ 85020 - Phone
- (623) 329-3550
- NPI assigned
- Jul 3, 2023
- Last updated
- Jul 3, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Gregory Sonenschein, NURSE PRACTITIONER
- Title
- Pmhnp-BC
- Phone
- (623) 329-3550
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | NU | Primary |
Addresses
Primary practice location
7600 N. 15TH Street
Suite 150
Phoenix, AZ 85020
Mailing address
2760 W Peoria Ave
Phoenix, AZ 85029-5202
Phone (623) 329-3550
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124735006 | Medicaid | AZ | |
| 1457816597 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Scottsdale, AZ
- NPI 1457816597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688342400000",
"number": "1881371607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2760 W PEORIA AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850295202",
"telephone_number": "623-329-3550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 N. 15TH STREET",
"address_2": "SUITE 150",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85020",
"telephone_number": "623-329-3550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNSHINE VALLEY PSYCHIATRIC SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-03",
"last_updated": "2023-07-03",
"certification_date": "2023-06-12",
"status": "A",
"authorized_official_last_name": "SONENSCHEIN",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "GREGORY",
"authorized_official_title_or_position": "PMHNP-BC",
"authorized_official_telephone_number": "623-329-3550",
"authorized_official_credential": "NURSE PRACTITIONER"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124735006",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1457816597",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.