Mary Beth Ackerley

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35392 Issued in AZ

Practice address

7533 N Window Peak Rd
Tucson, AZ 85718-1376

Phone

(520) 299-5678

NPI assigned

Oct 21, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 1, 2016 through Mar 1, 2028

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Mypassion4Health

  • Clinic/Center
  • Tucson, AZ
  • NPI 1245491190
  NPD (past) Authorized official

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1801048012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7533 N WINDOW PEAK RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857181376",
            "telephone_number": "520-299-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7533 N WINDOW PEAK RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857181376",
            "telephone_number": "520-299-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKERLEY",
        "first_name": "MARY",
        "middle_name": "BETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "35392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Acevedo
• Tushar Acharya, M.D.
• Achieve Builds Confidence Inc.
• Melody Acker
• Jane Ellen Ackerley, DNP
• Stephane Christian Ackermann, LPC
• Tamilyn A Ackerson
• Don Acomb, DDS
• Acosta Smile
• Belinda Jaquez Acosta, FNP

• Psychiatry Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.