NPIMap

Organization Active NPI

University of Arizona

  • Adult Mental Health Clinic/Center
  • Tucson, AZ
National Provider Identifier
1538474374
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
3726 - PSYCHOLOGIST Issued in AZ
Legal business name
UNIVERSITY OF ARIZONA
Practice address
1224 E Lowell St BLDG 95
Tucson, AZ 85721-0095
Phone
(520) 626-6903
Fax
(520) 626-8962
NPI assigned
Aug 17, 2010
Last updated
Aug 17, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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

Authorized official

Name
Ms. Patricia Rodriguez
Title
Human Resources Representative
Phone
(520) 626-6903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 3726 - PSYCHOLOGIST AZ Primary

Addresses

Primary practice location

1224 E Lowell St BLDG 95
Tucson, AZ 85721-0095

Mailing address

PO Box 210095
1224 E. Lowell Street, BLDG. 95
Tucson, AZ 85721-0095
Phone (520) 626-6903

Other names 1

  • Campus Health Services Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2134805Campus Health Service - Women's Health Clinic1224 E Lowell St, Tucson, AZ 85721Provider-performed microscopyAug 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
University of Arizona Rise19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

1224 E Lowell St
Bldg 95
Tucson, AZ 85721
Phone (520) 621-3334

Practitioners & affiliated clinicians

Practitioners 5

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": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1538474374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 210095",
            "address_2": "1224 E. LOWELL STREET, BLDG. 95",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857210095",
            "telephone_number": "520-626-6903",
            "fax_number": "520-626-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 E LOWELL ST BLDG 95",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857210095",
            "telephone_number": "520-626-6903",
            "fax_number": "520-626-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-17",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "HUMAN RESOURCES REPRESENTATIVE",
        "authorized_official_telephone_number": "520-626-6903",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "AZ",
            "license": "3726 - PSYCHOLOGIST",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campus Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.