Active NPI
Antonia Marie Garcia, PH.D.
- Clinical Psychologist
- Tucson, AZ
National Provider Identifier
1679173447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY-005335
- Practice address
- 6262 N Swan Rd Ste 160
Tucson, AZ 85718-3636 - Phone
- (520) 955-4064
- Fax
- (520) 254-6003
- NPI assigned
- Oct 29, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY-005335 | AZ | Primary |
Addresses
Primary practice location
6262 N Swan Rd Ste 160
Tucson, AZ 85718-3636
Mailing address
1031 E Copper St
Tucson, AZ 85719-3006
Phone (602) 369-6327
Other practice location 1
1031 E Copper St
Tucson, AZ 85719-3006
Phone (602) 369-6327
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-005335 | AZ | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metta, LLC | Psychologist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Psychologist
- Tucson, AZ
- NPI 1992243844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603929600000",
"number": "1679173447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1031 E COPPER ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857193006",
"telephone_number": "602-369-6327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6262 N SWAN RD STE 160",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857183636",
"telephone_number": "520-955-4064",
"fax_number": "520-254-6003"
}
],
"practiceLocations": [
{
"address_1": "1031 E Copper St",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857193006",
"country_code": "US",
"telephone_number": "602-369-6327",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARCIA",
"first_name": "ANTONIA",
"middle_name": "MARIE",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-29",
"last_updated": "2020-10-29",
"certification_date": "2020-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AZ",
"license": "PSY-005335",
"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 Oct 29, 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.