Active NPI
Tanya Underwood, DO
- Psychiatry Physician
- Cortaro, AZ
National Provider Identifier
1689699050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 3547
- Practice address
- 5800 W Arizona Pavilions Dr
Unit 248
Cortaro, AZ 85652-2909 - Phone
- (520) 638-5997
- Fax
- (520) 372-2552
- NPI assigned
- Jul 13, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 3547 | AZ | Primary |
Addresses
Primary practice location
5800 W Arizona Pavilions Dr
Unit 248
Cortaro, AZ 85652-2909
Mailing address
5800 W Arizona Pavilions Dr
Unit 248
Cortaro, AZ 85652-2909
Phone (520) 638-5997
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3547 | AZ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Codac Health Recovery and Wellness | Past | Accepting new patients | |
| Codac Behavioral Health Services of Pima County, Inc. | Past | Accepting new patients | |
| Lafrontera Center Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1689699050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5800 W ARIZONA PAVILIONS DR",
"address_2": "UNIT 248",
"city": "CORTARO",
"state": "AZ",
"postal_code": "856522909",
"telephone_number": "520-638-5997",
"fax_number": "520-372-2552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5800 W ARIZONA PAVILIONS DR",
"address_2": "UNIT 248",
"city": "CORTARO",
"state": "AZ",
"postal_code": "856522909",
"telephone_number": "520-638-5997",
"fax_number": "520-372-2552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNDERWOOD",
"first_name": "TANYA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "3547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cortaro, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.