Active NPI
Safe Harbor Psychiatry LLC
- Psychiatry Physician
- Tucson, AZ
National Provider Identifier
1033818653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- SAFE HARBOR PSYCHIATRY LLC
- Practice address
- 6280 E Pima St Ste 110
Tucson, AZ 85712-3074 - Phone
- (520) 298-7748
- Fax
- (520) 300-7363
- NPI assigned
- Mar 2, 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
- William R Reynolds, PA-C
- Title
- Practioner/Owner
- Phone
- (520) 488-1776
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
6280 E Pima St Ste 110
Tucson, AZ 85712-3074
Mailing address
PO Box 733
Marana, AZ 85653-0733
Phone (520) 490-4956
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 737379 | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677715200000",
"number": "1033818653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 733",
"city": "MARANA",
"state": "AZ",
"postal_code": "856530733",
"telephone_number": "520-490-4956",
"fax_number": "520-300-7363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6280 E PIMA ST STE 110",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857123074",
"telephone_number": "520-298-7748",
"fax_number": "520-300-7363"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFE HARBOR PSYCHIATRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-02",
"last_updated": "2023-03-02",
"certification_date": "2023-03-02",
"status": "A",
"authorized_official_last_name": "REYNOLDS",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRACTIONER/OWNER",
"authorized_official_telephone_number": "520-488-1776",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "737379",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.