Tribe Wellness Group PLLC
Organization Active NPI Neurology Physician · Cottonwood, AZ
NPI 1073004339 · NPPES record last updated Mar 5, 2025
Key facts
- NPI
- 1073004339
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurology Physician 2084N0400X
- Legal business name
- TRIBE WELLNESS GROUP PLLC
- Practice address
- 549 S Main St
Cottonwood, AZ 86326-3902 - Phone
- (928) 202-9187
- Fax
- (928) 202-4666
- NPI assigned
- May 22, 2018
- Organization subpart
- No
Authorized official
- Name
- Kelly Weathersby
- Title
- Office Manager
- Phone
- (928) 202-9187
Practitioners 7
-
Tina Johnson, LICSW
-
Mary Alaynick Watson, M.D.
-
Yenna Chin, PA-C
-
Cybele E Saimo, PMHNP - BC
-
Tamara Cy Garden, LPC
-
Calli Grace Monroe, LAC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180824002709 | AZ | Part B Supplier - Clinic/Group Practice | 0244589174 |
Receives reassigned benefits from 2 practitioners Practice locations: Cottonwood, AZ; Sedona, AZ |
National Provider Directory
Locations
549 S Main St
Cottonwood, AZ 86326
Phone (928) 202-9187
2030 W State Route 89A
Ste B4
Sedona, AZ 86336
Phone (928) 202-9187
1835 W State Route 89A
Ste 2
Sedona, AZ 86336
Phone (928) 202-9187
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Neurology Physician |
2084N0400X | Yes |
Addresses
Primary practice location
549 S Main St
Cottonwood, AZ 86326-3902
Mailing address
549 S Main St
Cottonwood, AZ 86326-3902
Phone (928) 202-9187
Other providers in Cottonwood, AZ
- Lisa A Thompson
- Trevor Thorpe
- Rebecca E.G. Tokarczyk
- Sarah Ann Torabi
- Gigi Marie Touchon
- Ranae Kathleen Trudeau
- Shannen Renee Trujillo
- Jacalyn Tucker
- Daniel Tutelman
- United Surgical Associates, L.L.C.
All providers in Cottonwood, AZ · Neurology Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.