Organization Active NPI

Thomas Reichenbacher, MD PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Tucson, AZ
National Provider Identifier
1699384040
Registry record updated Dec 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
THOMAS REICHENBACHER, MD PLLC
Practice address
6650 N Oracle Rd Ste 110
Tucson, AZ 85704-5604
Phone
(520) 639-8746
Fax
(520) 900-7256
NPI assigned
Jul 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2020

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

Authorized official

Name
Thomas M Reichenbacher
Title
Provider/Owner
Phone
(520) 639-8746

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

6650 N Oracle Rd Ste 110
Tucson, AZ 85704-5604

Mailing address

6650 N Oracle Rd Ste 110
Tucson, AZ 85704-5604
Phone (520) 639-8746

Other identifiers 1

IdentifierTypeStateIssuer
1225119746OtherAZTYPE 1 NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL DESKTOP Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1699384040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 N ORACLE RD STE 110",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045604",
            "telephone_number": "520-639-8746",
            "fax_number": "520-900-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 N ORACLE RD STE 110",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045604",
            "telephone_number": "520-639-8746",
            "fax_number": "520-900-7256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS REICHENBACHER, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "REICHENBACHER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "520-639-8746"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1225119746",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "DESKTOP",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6650 N Oracle Rd Ste 110",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857045604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 11, 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.