Divine Interventional Psychiatry PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

DIVINE INTERVENTIONAL PSYCHIATRY PLLC

Practice address

1360 N Bullard Ave Ste 200
Goodyear, AZ 85395-2744

Phone

(310) 940-2265

NPI assigned

Mar 26, 2026

Organization subpart

No

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

Authorized official

Name

Doris TihNPI 1942990783

Title

Owner

Phone

(310) 940-2265

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

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.

• Doris Tih, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Goodyear, AZ
  • NPI 1942990783
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1774483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1548109366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 N BULLARD AVE STE 200",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952744",
            "telephone_number": "310-940-2265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 N BULLARD AVE STE 200",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952744",
            "telephone_number": "310-940-2265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE INTERVENTIONAL PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-26",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "TIH",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-940-2265"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Marie Disney
• Conrad Franklin Diven, MD
• Divergent Recovery LLC
• Divine Assurance Behavioral Health Residentail Care LLC
• Divine Assurance Behavioral Health Residentail Care LLC
• Corinne Dixon
• Steven DO, RPH
• Lexington Dobbs, RD, LD
• Brenda Jean Doeksen, M.S. CCC-SLP
• Colleen Marie Dolan, LMT

• Psychiatric/Mental Health Nurse Practitioner in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.