Organization Active NPI

Peacock Mental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1275244709
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PEACOCK MENTAL HEALTH LLC
Practice address
1200 N El Dorado PL Ste E-510
Tucson, AZ 85715-4637
Phone
(623) 355-5575
Fax
(623) 227-2466
NPI assigned
Dec 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Authorized official

Name
Dr. Aaron Del Pino, DNP-PMHNP
Title
Owner
Phone
(520) 428-2003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1200 N El Dorado PL Ste E-510
Tucson, AZ 85715-4637

Mailing address

3071 N Swan Rd
Tucson, AZ 85712-1259
Phone (623) 355-5575

National Provider Directory

National Provider Directory

Locations

1200 N El Dorado Pl
Ste E510
Tucson, AZ 85715
Phone (623) 335-5575

4764 E Sunrise Dr
Tucson, AZ 85718
Phone (520) 235-6656

3071 N Swan Rd
Tucson, AZ 85712
Phone (520) 261-6725

Practitioners & affiliated clinicians

Practitioners 1

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": "1670284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731369600000",
    "number": "1275244709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3071 N SWAN RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121259",
            "telephone_number": "623-355-5575",
            "fax_number": "623-227-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N EL DORADO PL STE E-510",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154637",
            "telephone_number": "623-355-5575",
            "fax_number": "623-227-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACOCK MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-06",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A",
        "authorized_official_last_name": "DEL PINO",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-428-2003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP-PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "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 Nov 12, 2024; 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.