Organization Active NPI

Tabitha Intschert, LCSW, Pyt, PLLC

  • Community/Behavioral Health Agency
  • Tucson, AZ
National Provider Identifier
1386199164
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TABITHA INTSCHERT, LCSW, PYT, PLLC
Practice address
5669 N Oracle Rd Ste 2101
Tucson, AZ 85704-3856
Phone
(520) 812-6565
Fax
(520) 326-8669
NPI assigned
Aug 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Authorized official

Name
Mrs. Tabitha Intschert, LCSWNPI 1235311390
Title
LCSW
Phone
(520) 812-6565

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
Community/Behavioral Health Agency 251S00000X ZZ Primary

Addresses

Primary practice location

5669 N Oracle Rd Ste 2101
Tucson, AZ 85704-3856

Mailing address

5669 N Oracle Road Suite 2101
Tucson, AZ 85704
Phone (520) 812-6565

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161109001816 AZ Part B Supplier - Clinic/Group Practice 8224317565 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

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": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1386199164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5669 N ORACLE ROAD SUITE 2101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85704",
            "telephone_number": "520-812-6565",
            "fax_number": "520-326-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5669 N ORACLE RD STE 2101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857043856",
            "telephone_number": "520-812-6565",
            "fax_number": "520-326-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABITHA INTSCHERT, LCSW, PYT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "INTSCHERT",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "520-812-6565",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ZZ",
            "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 Aug 22, 2016; 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.