Organization Active NPI

Tanya Underwood, DO, PLLC

  • Psychiatry Physician
  • Cortaro, AZ
National Provider Identifier
1437696127
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
3547 Issued in AZ
Legal business name
TANYA UNDERWOOD, DO, PLLC
Practice address
5800 W Arizona Pavilions Dr
Unit 248
Cortaro, AZ 85652-2909
Phone
(520) 638-5997
Fax
(520) 372-2552
NPI assigned
Jan 19, 2017
Last updated
Jan 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
Tanya Underwood, DONPI 1689699050
Title
Ceo
Phone
(520) 638-5997

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 3547 AZ Primary

Addresses

Primary practice location

5800 W Arizona Pavilions Dr
Unit 248
Cortaro, AZ 85652-2909

Mailing address

5800 W Arizona Pavilions Dr
Unit 248
Cortaro, AZ 85652-2909
Phone (520) 638-5997

National Provider Directory

National Provider Directory

Locations

5800 W Arizona Pavilions Dr
Unit 248
Cortaro, AZ 85652
Phone (520) 638-5997

6700 N Oracle Rd
Ste 121
Tucson, AZ 85704
Phone (520) 213-9398

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1437696127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 W ARIZONA PAVILIONS DR",
            "address_2": "UNIT 248",
            "city": "CORTARO",
            "state": "AZ",
            "postal_code": "856522909",
            "telephone_number": "520-638-5997",
            "fax_number": "520-372-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 W ARIZONA PAVILIONS DR",
            "address_2": "UNIT 248",
            "city": "CORTARO",
            "state": "AZ",
            "postal_code": "856522909",
            "telephone_number": "520-638-5997",
            "fax_number": "520-372-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANYA UNDERWOOD, DO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-19",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "520-638-5997",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "3547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortaro, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.