NPIMap

Organization Active NPI

Pusch Ridge Behavioral Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1376140459
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PUSCH RIDGE BEHAVIORAL HEALTH LLC
Practice address
6700 N Oracle Rd Ste 505
Tucson, AZ 85704-7736
Phone
(520) 330-2334
Fax
(520) 329-8363
NPI assigned
Oct 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Tabitha Salzer, PMHNPNPI 1699319939
Title
Owner
Phone
(520) 330-2334

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

6700 N Oracle Rd Ste 505
Tucson, AZ 85704-7736

Mailing address

6700 N Oracle Rd Ste 505
Tucson, AZ 85704-7736
Phone (520) 330-2334

Other names 1

  • Pusch Ridge Behavioral Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Tucson Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230823004617 AZ Part B Supplier - Clinic/Group Practice 7416310438 Receives reassigned benefits from 13 practitioners
Practice locations: Green Valley, AZ; Tucson, AZ

National Provider Directory

National Provider Directory

Locations

6700 N Oracle Rd
Ste 505
Tucson, AZ 85704
Phone (520) 330-2334

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694995200000",
    "number": "1376140459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 N ORACLE RD STE 505",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047736",
            "telephone_number": "520-330-2334",
            "fax_number": "520-329-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 N ORACLE RD STE 505",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047736",
            "telephone_number": "520-330-2334",
            "fax_number": "520-329-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUSCH RIDGE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-02",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A",
        "authorized_official_last_name": "SALZER",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-330-2334",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Tucson",
            "affiliation": "N",
            "endpointDescription": "Tucson",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Tucson",
            "address_1": "6700 N Oracle Rd Ste 505",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857047736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pusch Ridge Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pusch Ridge Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.