Organization Active NPI

Nancy M. Eldredge, PH.D,LLC

  • Mental Health Counselor
  • Tucson, AZ
National Provider Identifier
1508894684
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1684 Issued in AZ
Legal business name
NANCY M. ELDREDGE, PH.D,LLC
Practice address
377 S Meyer Ave
Tucson, AZ 85701-2231
Phone
(520) 622-4950
Fax
(520) 622-1227
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Nancy M. Eldredge, PH.D.NPI 1538167291
Title
Psychologist
Phone
(520) 622-4950

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 1684 AZ Primary

Addresses

Primary practice location

377 S Meyer Ave
Tucson, AZ 85701-2231

Mailing address

PO Box 85684
Tucson, AZ 85754-5684
Phone (520) 622-4950

National Provider Directory

National Provider Directory

Locations

377 S Meyer Ave
Tucson, AZ 85701
Phone (502) 622-4950

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": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508894684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85684",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857545684",
            "telephone_number": "520-622-4950",
            "fax_number": "520-622-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 S MEYER AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857012231",
            "telephone_number": "520-622-4950",
            "fax_number": "520-622-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY M. ELDREDGE, PH.D,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELDREDGE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "520-622-4950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "1684",
            "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, 2020; 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.