NPIMap

Organization Active NPI

Psych Network P.C.

Doing business as Psychology Network

  • Adult Mental Health Clinic/Center
  • Tucson, AZ
National Provider Identifier
1467700138
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
PSYCH NETWORK P.C.
Doing business as
Psychology Network
Practice address
1011 N Craycroft Rd
Suite 400
Tucson, AZ 85711-7309
Phone
(520) 318-4930
NPI assigned
Aug 28, 2012
Last updated
Aug 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Authorized official

Name
Dr. Nelson H De Jesus, PH.D.NPI 1689784795
Title
President
Phone
(520) 318-4930

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adult Mental Health Clinic/Center 261QM0850X AZ
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Pain Clinic/Center 261QP3300X

Addresses

Primary practice location

1011 N Craycroft Rd
Suite 400
Tucson, AZ 85711-7309

Mailing address

8987 E Tanque Verde Rd
Suite 309-383
Tucson, AZ 85749-9610
Phone (520) 318-4930

Other names 1

  • Psychology Network Doing business as

National Provider Directory

National Provider Directory

Locations

8987 E Tanque Verde Rd
Ste 309383
Tucson, AZ 85749

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": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1467700138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8987 E TANQUE VERDE RD",
            "address_2": "SUITE 309-383",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857499610",
            "telephone_number": "520-318-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N CRAYCROFT RD",
            "address_2": "SUITE 400",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857117309",
            "telephone_number": "520-318-4930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCH NETWORK P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "DE JESUS",
        "authorized_official_first_name": "NELSON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-318-4930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "AZ",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychology Network",
            "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 Aug 28, 2012; 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.