Active NPI
Albert Henry Garcia
- Child Mental Illness Respite Care
- Tucson, AZ
National Provider Identifier
1770666745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Mental Illness Respite Care
- License
- 4463
- Practice address
- 7835 N Desert Pass Rd
Tucson, AZ 85743-7658 - Phone
- (520) 682-7803
- Fax
- (520) 682-8087
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Child Mental Illness Respite Care | 385HR2055X | 4463 | AZ | Primary |
Addresses
Primary practice location
7835 N Desert Pass Rd
Tucson, AZ 85743-7658
Mailing address
PO Box 222
Cortaro, AZ 85652-0222
Phone (520) 682-7803
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4463 | AZ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Devereux Foundation | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Devereux Arizona
- Adolescent and Children Mental Health Clinic/Center
- Phoenix, AZ
- NPI 1306939368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770666745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 222",
"city": "CORTARO",
"state": "AZ",
"postal_code": "856520222",
"telephone_number": "520-682-7803",
"fax_number": "520-682-8087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7835 N DESERT PASS RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857437658",
"telephone_number": "520-682-7803",
"fax_number": "520-682-8087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "ALBERT",
"middle_name": "HENRY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": "AZ",
"license": "4463",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.