Individual provider Active NPI

Emily Tufo, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1326892969
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
301140 Issued in AZ
Practice address
1345 E Main St Ste 104
Mesa, AZ 85203-8950
Phone
(480) 300-4741
NPI assigned
Apr 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 301140 AZ Primary

Addresses

Primary practice location

1345 E Main St Ste 104
Mesa, AZ 85203-8950

Mailing address

4970 W El Caminito Dr
Glendale, AZ 85302-6319
Phone (623) 337-7447

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241016002286 AZ Practitioner - Nurse Practitioner 0840722799 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
301140AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Roya Health, LLC Psychiatric/Mental Health CurrentSince Aug 11, 2024 Accepting new patients
Roya Health, LLC Psychiatric/Mental Health CurrentSince Aug 11, 2024 Accepting new patients

Locations

1345 E Main St
Ste 104
Mesa, AZ 85203
Phone (480) 300-4741

1345 E Main St
Mesa, AZ 85203
Phone (480) 223-0290

4435 E Chandler Blvd
Ste 200
Phoenix, AZ 85048
Phone (480) 930-2322

825 W Southern Ave
Phoenix, AZ 85041
Phone (480) 300-4741

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1326892969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4970 W EL CAMINITO DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853026319",
            "telephone_number": "623-337-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 E MAIN ST STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852038950",
            "telephone_number": "480-300-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUFO",
        "first_name": "EMILY",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "301140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.