NPIMap

Organization Active NPI

Old Pueblo Community Services

  • Community/Behavioral Health Agency
  • Tucson, AZ
National Provider Identifier
1184866428
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BH3168 Issued in AZ
Legal business name
OLD PUEBLO COMMUNITY SERVICES
Practice address
7030 E Broadway Blvd Ste 250
Tucson, AZ 85710-2829
Phone
(520) 909-4425
NPI assigned
Apr 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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

Authorized official

Name
Mr. Thomas Michael Litwicki, M.ED, LISACNPI 1588895049
Title
Clinical Director
Phone
(520) 909-4425

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)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X BH3168 AZ Primary

Addresses

Primary practice location

7030 E Broadway Blvd Ste 250
Tucson, AZ 85710-2829

Mailing address

4501 E 5TH St
Tucson, AZ 85711-7015
Phone (520) 909-4425

National Provider Directory

National Provider Directory

Locations

4501 E 5th St
Tucson, AZ 85711
Phone (520) 445-7093

7030 E Broadway Blvd
Ste 250
Tucson, AZ 85710
Phone (520) 909-4425

Practitioners & affiliated clinicians

Practitioners 8

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": "1238544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238544000000",
    "number": "1184866428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 E 5TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857117015",
            "telephone_number": "520-909-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7030 E BROADWAY BLVD STE 250",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102829",
            "telephone_number": "520-909-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD PUEBLO COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-01",
        "last_updated": "2009-04-01",
        "status": "A",
        "authorized_official_last_name": "LITWICKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "520-909-4425",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED, LISAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH3168",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.