Active NPI
Christine Erin Tetzloff, PHD
- Clinical Psychologist
- Payson, AZ
National Provider Identifier
1265400618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1572
- Practice address
- 814 N Beeline Hwy
Suite I
Payson, AZ 85541 - Phone
- (928) 472-8323
- Fax
- (928) 468-1447
- NPI assigned
- Mar 10, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1572 | AZ | Primary |
Addresses
Primary practice location
814 N Beeline Hwy
Suite I
Payson, AZ 85541
Mailing address
PO Box 264
Payson, AZ 85547-0264
Phone (928) 472-8323
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1254300007 | Other | ARIZONA BIODYNE | |
| 612475 | Medicaid | AZ | |
| AZ0615210 | Other | AZ | BLUE CROSS BLUE SHIELD |
| 183606 | Other | MANAGED HEALTH NETWORK | |
| 1047955 | Other | CIGNA BEHAVIORAL HEALTH | |
| 6179573 | Other | UNITED BEHAVIORAL HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1572 | AZ | MD | Veterinarian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1265400618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 264",
"city": "PAYSON",
"state": "AZ",
"postal_code": "855470264",
"telephone_number": "928-472-8323",
"fax_number": "928-468-1447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 N BEELINE HWY",
"address_2": "SUITE I",
"city": "PAYSON",
"state": "AZ",
"postal_code": "85541",
"telephone_number": "928-472-8323",
"fax_number": "928-468-1447"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TETZLOFF",
"first_name": "CHRISTINE",
"middle_name": "ERIN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "1572",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA BIODYNE",
"identifier": "1254300007",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "612475",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "AZ0615210",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "183606",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "1047955",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "6179573",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Payson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.