Active NPI
Martin Romeo Tamou, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 304792
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 304792 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Partners Integrated Healthcare, Inc. | Current | Accepting new patients | |
| Uhs of Phoenix, LLC | Current | Accepting new patients | |
| Pinal Hispanic Council | Current | Accepting new patients | |
| Intermountain Health Center Inc | Current | Accepting new patients | |
| Healing Horizons Psychiatry | Current | 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
- martin.tamou.p1@direct.cpi.nextgenshare.com
- 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.
-
- Psychiatry Physician
- Glendale, AZ
- NPI 1730864034
-
- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1669897385
-
- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1609245273
-
- Multi-Specialty Clinic/Center
- Eloy, AZ
- NPI 1235271404
-
- Community/Behavioral Health Agency
- Flagstaff, AZ
- NPI 1629432380
-
- Community Health Clinic/Center
- Tucson, AZ
- NPI 1861042012
-
- Community/Behavioral Health Agency
- Sells, AZ
- NPI 1205164605
-
- Psychiatric Hospital
- Surprise, AZ
- NPI 1649755893
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.