PREMIER HEALTH & WELLNESS, LLC
NPI 1053710590
Psychiatry & Neurology - Psychiatry in Phoenix, AZ
About Premier Health & Wellness, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMIER HEALTH & WELLNESS, LLC (NPI 1053710590) is a healthcare organization registered as a psychiatry in Phoenix, Arizona and active in the NPI registry since August 2014. The organization lists Sonia A Godbole, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Premier Health & Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Premier Health & Wellness, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Premier Health & Wellness, LLC's NPI number?
The NPI number for Premier Health & Wellness, LLC is 1053710590. It was assigned to this organization in the NPPES registry on August 21, 2014.
Where is Premier Health & Wellness, LLC located?
Premier Health & Wellness, LLC is located at 11801 N Tatum Blvd Ste 128, Phoenix, AZ 85028. The listed phone number is (602) 795-9980.
What is Premier Health & Wellness, LLC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Premier Health & Wellness, LLC enrolled in Medicare?
Yes. Premier Health & Wellness, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Premier Health & Wellness, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Psychiatry, reassign their Medicare billing to Premier Health & Wellness, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Premier Health & Wellness, LLC was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Premier Health & Wellness, Llc · NPI 1053710590
Psychiatry organization in Phoenix, Arizona. Organization record, active in the CMS NPPES registry since August 21, 2014.
## Identity
- **NPI:** 1053710590 (Entity type: Organization)
- **Enumerated:** August 21, 2014
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **Organization subpart:** No
- **Authorized official:** Sonia Godbole, MEMBER
## Practice location
- **Address:** 11801 N TATUM BLVD STE 128, Phoenix, AZ 85028-1620
- **Phone:** (602) 795-9980
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Psychiatry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 12, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1053710590) · Data from the CMS NPPES public registry.