Individual provider Active NPI

Kittaporn Jonglertjanya, DO

  • Psychiatry Physician
  • Tucson, AZ
National Provider Identifier
1518538222
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OT021067 Issued in PA
Practice address
5929 E Pima St
Tucson, AZ 85712-4353
Phone
(520) 222-9497
NPI assigned
Jul 3, 2021
Last updated
Feb 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X OT021067 PA Primary

Addresses

Primary practice location

5929 E Pima St
Tucson, AZ 85712-4353

Mailing address

5929 E Pima St
Tucson, AZ 85712-4353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260409003181 AZ Practitioner - Psychiatry 1951703248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Arizona College of Osteopathic Medicine Mid Western University, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5929 E Pima St
Tucson, AZ 85712-4353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OT021067PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Attunement Psychiatry Arizona, PLLC Psychiatry Current Accepting new patients

Locations

5929 E Pima St
Tucson, AZ 85712
Phone (520) 222-9497

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1625270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1518538222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5929 E PIMA ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5929 E PIMA ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124353",
            "telephone_number": "520-222-9497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONGLERTJANYA",
        "first_name": "KITTAPORN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-03",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "OT021067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.