Organization Active NPI

Tribe Wellness TMS PLLC

  • Psychiatry Physician
  • Sedona, AZ
National Provider Identifier
1801462122
Registry record updated Jul 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
TRIBE WELLNESS TMS PLLC
Practice address
2855 W St Rte 89a Ste 2
Sedona, AZ 86336-5100
Phone
(928) 202-9187
Fax
(928) 202-4666
NPI assigned
May 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2022

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

Authorized official

Name
Dr. Mary Watson, MD
Title
Owner
Phone
(928) 202-9187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2855 W St Rte 89a Ste 2
Sedona, AZ 86336-5100

Mailing address

2855 W St Rte 89a Ste 2
Sedona, AZ 86336-5100
Phone (928) 202-9187

Other identifiers 1

IdentifierTypeStateIssuer
1972577021OtherNPPES

National Provider Directory

National Provider Directory

Locations

2855 W State Route 89A
Ste 2
Sedona, AZ 86336
Phone (833) 867-2329

12381 Wilshire Blvd
Ste 205
Los Angeles, CA 90025
Phone (213) 894-9696

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658448000000",
    "number": "1801462122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 W ST RTE 89A STE 2",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365100",
            "telephone_number": "928-202-9187",
            "fax_number": "928-202-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 W ST RTE 89A STE 2",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863365100",
            "telephone_number": "928-202-9187",
            "fax_number": "928-202-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIBE WELLNESS TMS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-202-9187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1972577021",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedona, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.