PSYCH NETWORK P.C. (NPI# 1467700138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467700138 |
| Entity Type | Organization |
| Organization Name | PSYCH NETWORK P.C. |
| Other Organization Name | PSYCHOLOGY NETWORK |
| Practice Address |
1011 N Craycroft Rd Suite 400 Tucson AZ 85711-7309 |
| Mailing Address |
8987 E Tanque Verde Rd Suite 309-383 Tucson AZ 85749-9610 |
| Practice Telephone | 5203184930 |
| Mailing Telephone | 5203184930 |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |
| Authorized Official Name | DR. NELSON H DE JESUS (PRESIDENT) |
| Authorized Official Telephone | 5203184930 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
AZ | Ambulatory Health Care Facilities | |
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICARE PTAN | ZPHD1806B | 01 |
| Other Name | Type Code |
|---|---|
| Psychology Network | Doing Business As Name - Organization |
| Street Address |
1011 N CRAYCROFT RD SUITE 400 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85711-7309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689784795 | Nelson Hector De Jesus | Psychologist | 1011 N Craycroft Rd, Ste 400, Tucson, AZ 85711-7313 | 2006-08-30 |
| 1922554328 | Devereux Foundation | Community/Behavioral Health | 1011 N Craycroft Rd, #204, Tucson, AZ 85711-7309 | 2016-08-27 |
| 1689035867 | Devereux Foundation | Community/Behavioral Health | 1011 N Craycroft Rd, #306, Tucson, AZ 85711-7309 | 2016-03-15 |
| 1841698818 | Youth and Families First | Community/Behavioral Health | 1011 N Craycroft Rd, Ste. 306, Tucson, AZ 85711-7309 | 2014-12-08 |
| 1932445194 | Canyon Heallth LLC | Nurse Practitioner | 1011 N Craycroft Rd, Suite 460, Tucson, AZ 85711-7309 | 2012-12-17 |
| 1710248042 | Saguaro Center for Speech & Language Pllc | Speech-Language Pathologist | 1011 N Craycroft Rd, Suite 301, Tucson, AZ 85711-7309 | 2012-06-04 |
| 1528327343 | Fabiane Hirsch Kruse | Speech-Language Pathologist | 1011 N Craycroft Rd, Suite 301, Tucson, AZ 85711-7309 | 2012-05-14 |
| 1831352806 | Jason Matthew Shroyer | Dentist | 1011 N Craycroft Rd, Suite 107, Tucson, AZ 85711-7309 | 2008-07-09 |
| 1730370396 | Tung B Bui | Dentist | 1011 N Craycroft Rd, Suite 107, Tucson, AZ 85711-7309 | 2007-08-07 |
| 1922151539 | Dean M Hauseman | Dentist | 1011 N Craycroft Rd, Suite 107, Tucson, AZ 85711-7309 | 2007-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356959951 | Ridgeline Practice | Counselor | 4625 N Broadway, Suite 105, Tucson, AZ 85711 | 2020-07-20 |
| 1881229946 | Famiglia Amore II LLC | Assisted Living Facility | 632 N. Wilmot, Tucson, AZ 85711 | 2020-03-10 |
| 1992343362 | Laurie Anne Mcmahon | Family Medicine | 899 N. Wilmot, Building B, Tucson, AZ 85711 | 2019-12-17 |
| 1063060093 | Sharese Ann Bailey | Counselor | 300 S Craycroft Rd, Tucson, AZ 85711 | 2019-09-03 |
| 1467940015 | Jin Zhang | Ophthalmology | 655 N Alvernon Way Ste 204, Tucson, AZ 85711 | 2018-04-30 |
| 1447779525 | Catherine Butler Hobart | Pharmacist | 535 North Wilmont Road, Suite 101, Tucson, AZ 85711 | 2017-09-11 |
| 1689196420 | Cope Community Services, Inc. | Case Management | 924 N Alvernon Way, Tucson, AZ 85711 | 2017-07-13 |
| 1124561477 | Regina Maendler | Behavioral Analyst | 630 N. Craycroft Rd, Tucson, AZ 85711 | 2016-11-18 |
| 1881140184 | Elleda Linsmeyer | Speech-Language Pathologist | St. Joesph's Hosptial, 350 N. Wilmont Rd., Tucson, AZ 85711 | 2016-08-28 |
| 1962856260 | Csl-tucson, LLC | Assisted Living Facility | 1020 N. Woodland Avenue, Tucson, AZ 85711 | 2016-04-22 |
| Find all providers in zip 85711 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093240020 | Cottonwood Tucson Outpatient Services | Clinic/Center | 4110 W Sweetwater Dr Bldg 16, Tucson, AZ 85745-9348 | 2017-04-27 |
| 1760916407 | Grace Home Assisted Living 1 | Clinic/Center | 2301 S Quail Hollow Dr, Tucson, AZ 85710-7986 | 2017-04-19 |
| 1730534405 | New Horizons Behavioral Health Services Inc | Clinic/Center | 5849 E 5th St, Tucson, AZ 85711-2403 | 2016-04-29 |
| 1205293487 | Neuropco LLC | Clinic/Center | 4061 E Via Del Vireo, Tucson, AZ 85718-3311 | 2016-01-20 |
| 1265806186 | Banner -- University Medicine Crisis Response Center LLC | Clinic/Center | 2802 E District St Fl 1, Tucson, AZ 85714-2081 | 2015-11-16 |
| 1457755183 | Barrabee Therapy LLC | Clinic/Center | 2299 W. Camino San Acacio, Tucson, AZ 85741-3696 | 2014-10-09 |
| 1487984720 | Desert Milagros, LLC | Clinic/Center | 3438 N. Country Club Road, Tucson, AZ 85716-1257 | 2010-01-09 |
| 1588814685 | Valerie M. Kading, Np, P.l.l.c | Clinic/Center | 6969 E Sunrise Dr, Suite 202, Tucson, AZ 85750-0720 | 2008-09-24 |
| 1770742959 | University Physicians Healthcare | Clinic/Center | 2800 E. Ajo Way, Tucson, AZ 85713-3204 | 2008-06-03 |
| 1033319751 | Codac Behavioral Health Services of Pima County, Inc. | Clinic/Center | 721 N 4th Ave, Tucson, AZ 85705-8446 | 2007-07-20 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.