NPIMap

Organization Active NPI

Tucson Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1285473249
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
TUCSON PSYCHIATRY PLLC
Practice address
1500 N Wilmot Rd Ste A200
Tucson, AZ 85712-4416
Phone
(520) 873-8562
Fax
(888) 851-7021
NPI assigned
May 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Elena Malofeeva, PHDNPI 1588820906
Title
Clincial Director
Phone
(520) 873-8562

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1500 N Wilmot Rd Ste A200
Tucson, AZ 85712-4416

Mailing address

1500 N Wilmot Rd Ste A200
Tucson, AZ 85712-4416
Phone (520) 873-8562

National Provider Directory

National Provider Directory

Locations

1500 N Wilmot Rd
Ste A200
Tucson, AZ 85712
Phone (520) 873-8562

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1285473249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N WILMOT RD STE A200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124416",
            "telephone_number": "520-873-8562",
            "fax_number": "888-851-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N WILMOT RD STE A200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124416",
            "telephone_number": "520-873-8562",
            "fax_number": "888-851-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUCSON PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "MALOFEEVA",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "CLINCIAL DIRECTOR",
        "authorized_official_telephone_number": "520-873-8562",
        "authorized_official_credential": "PHD"
    },
    "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 May 21, 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.