Individual provider Active NPI

Martin Romeo Tamou, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1114785953
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
304792 Issued in AZ
Practice address
1515 E Osborn Rd
Phoenix, AZ 85014-5309
Phone
(602) 541-4864
NPI assigned
Mar 7, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 304792 AZ Primary

Addresses

Primary practice location

1515 E Osborn Rd
Phoenix, AZ 85014-5309

Mailing address

15033 W Post Dr
Surprise, AZ 85374-1433
Phone (623) 297-8770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240503001093 AZ Practitioner - Nurse Practitioner 1456791748 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Healing Horizons PsychiatryGroup PAC ID 7618331398, 6 clinicians

Practice addresses (Care Compare)

17215 N 72ND Dr
Suite A105
Glendale, AZ 85308-8557
Phone (480) 393-3515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
304792AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Partners Integrated Healthcare, Inc. Current Accepting new patients
Uhs of Phoenix, LLC CurrentSince Oct 1, 2025 Accepting new patients
Pinal Hispanic Council Current Accepting new patients
Intermountain Health Center Inc Current Accepting new patients
Healing Horizons Psychiatry CurrentSince Feb 1, 2025 Accepting new patients
Intermountain Centers for Human Development Past Accepting new patients
Behavioral Consultation Services, Inc. Past Accepting new patients
Intermountain Centers for Human Development Inc. Past Accepting new patients
Surprise Behavioral Hospital LP Past Accepting new patients

Locations

2028 N Trekell Rd
Ste 102
Casa Grande, AZ 85122
Phone (520) 381-3010

107 E 4th St
Eloy, AZ 85131
Phone (480) 247-7619

17215 N 72nd Dr
Ste A105
Glendale, AZ 85308
Phone (480) 393-3515

272 W View Point Dr
Ste 276
Nogales, AZ 85621

272 W View Point Dr
Nogales, AZ 85621
Phone (520) 281-0678

275 N Grand Court Plz
Nogales, AZ 85621
Phone (520) 287-0015

1515 E Osborn Rd
Phoenix, AZ 85014
Phone (602) 604-0000

2545 W Quail Ave
Phoenix, AZ 85027
Phone (602) 455-5700

301 E 4th St
Ste A
Safford, AZ 85546
Phone (928) 792-4242

5055 E Broadway Blvd
Ste C104
Tucson, AZ 85711
Phone (520) 623-9833

1021 E Palmdale St
Ste 130
Tucson, AZ 85714
Phone (520) 407-5353

1021 E Palmdale St
Ste 150190
Tucson, AZ 85714
Phone (520) 333-4320

5055 E Broadway Blvd
Ste A200
Tucson, AZ 85711
Phone (520) 901-4701

994 S Harrison Rd
Tucson, AZ 85748
Phone (520) 539-5091

5055 E Broadway Blvd
Ste B100
Tucson, AZ 85711
Phone (520) 901-4676

2545 S Arizona Ave
Bldg A
Yuma, AZ 85364

Interoperability endpoints

  • Direct secure messaging: martin.tamou.p1@direct.cpi.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1114785953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15033 W POST DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853741433",
            "telephone_number": "623-297-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E OSBORN RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145309",
            "telephone_number": "602-541-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMOU",
        "first_name": "MARTIN",
        "middle_name": "ROMEO",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "304792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.