Pneuma House

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

BH-3896 Issued in AZ

Legal business name

PNEUMA HOUSE

Practice address

4035 E Stony Meadow Drive
Tucson, AZ 85756

Phone

(520) 551-0643

NPI assigned

Aug 19, 2011

Last updated

Jun 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Anna Marie Ganago

Title

Owner/Operator

Phone

(520) 551-0643

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1710267968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 E STONY MEADOW DRIVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85756",
            "telephone_number": "520-551-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 E STONY MEADOW DRIVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85756",
            "telephone_number": "520-551-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PNEUMA HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "GANAGO",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "520-551-0643",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH-3896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Katleen Ploom, MD
• Anna Plotkin
• David I Plumb, M.D.
• Sarah E Plummer, RNFA, FNP-C
• Robert R Plymyer, M.S., L.P.C.
• John Leander PO, MD, PHD
• Megan Renee Pocock, M.S., CCC-SLP
• Dorothy Poczulp
• Gary A Podolny, MD
• Daniel Podsiadlo

• Mental Illness Community Based Residential Treatment Facility in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.