Premier Health & Wellness, LLC
NPI 1053710590 · Psychiatry Physician · Phoenix, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Premier Health & Wellness, LLC is a Psychiatry Physician organization in Phoenix, AZ (NPI 1053710590).
Provider details
- NPI number
- 1053710590
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sonia Godbole, Member(602) 795-9980
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-08-21
- Last updated
- 2023-09-12
- Certified
- 2023-09-12
Frequently asked questions
- What is Premier Health & Wellness, LLC's NPI number?
- Premier Health & Wellness, LLC's National Provider Identifier (NPI) is 1053710590, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premier Health & Wellness, LLC?
- Premier Health & Wellness, LLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Premier Health & Wellness, LLC located?
- Premier Health & Wellness, LLC's practice location on file with NPPES is 11801 N Tatum Blvd Ste 128, Phoenix, AZ 85028-1620.
- What is Premier Health & Wellness, LLC's phone number?
- The practice phone number listed in the NPPES registry for Premier Health & Wellness, LLC is (602) 795-9980.
- Does Premier Health & Wellness, LLC accept Medicare?
- Premier Health & Wellness, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Premier Health & Wellness, LLC?
- The authorized official listed on Premier Health & Wellness, LLC's NPPES record is Sonia Godbole, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premier Health & Wellness, LLC's NPI active?
- Yes — Premier Health & Wellness, LLC's NPI (1053710590) is active in the NPPES registry as of the last update on 2023-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.