Organization Active NPI

Tusa Ntabo Behavioral Health Services LLC

  • Psychiatry Physician
  • Florence, AZ
National Provider Identifier
1437913753
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
TUSA NTABO BEHAVIORAL HEALTH SERVICES LLC
Doing business as
Tusa Ntabo Behavioral Health Services LLC
Practice address
450 W Adamsville Rd Ste E
Florence, AZ 85132-8582
Phone
(901) 645-3359
Fax
(877) 683-9564
NPI assigned
Feb 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Authorized official

Name
Natalie Tamasang-Anagho
Title
Ceo
Phone
(901) 645-3359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

450 W Adamsville Rd Ste E
Florence, AZ 85132-8582

Mailing address

450 W Adamsville Rd Ste E
Florence, AZ 85132-8582
Phone (901) 645-3359

Other names 1

  • TUSA NTABO BEHAVIORAL HEALTH SERVICES LLC Doing business as

National Provider Directory

National Provider Directory

Locations

450 W Adamsville Rd
Ste E
Florence, AZ 85132
Phone (901) 645-3359

NPI Registry JSON

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1437913753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W ADAMSVILLE RD STE E",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851328582",
            "telephone_number": "901-645-3359",
            "fax_number": "877-683-9564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W ADAMSVILLE RD STE E",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851328582",
            "telephone_number": "901-645-3359",
            "fax_number": "877-683-9564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUSA NTABO BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A",
        "authorized_official_last_name": "TAMASANG-ANAGHO",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-645-3359"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TUSA NTABO BEHAVIORAL HEALTH SERVICES LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.