Individual provider Active NPI

Antonia Marie Garcia, PH.D.

  • Clinical Psychologist
  • Tucson, AZ
National Provider Identifier
1679173447
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY-005335 Issued in AZ
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

Updated by the provider on Oct 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PSY-005335AZMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Metta, LLC Psychologist PastSince Nov 1, 2020 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.

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.

Verify at the official NPI Registry.