Active NPI
Stacey Margo Biagi
- Child Mental Illness Respite Care
- Tucson, AZ
National Provider Identifier
1871673657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Mental Illness Respite Care
- License
- 4697
- Practice address
- 1170 W Chula Vista Rd
Tucson, AZ 85704-3006 - Phone
- (520) 743-8156
- NPI assigned
- Oct 16, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | 4697 | AZ | Primary |
Addresses
Primary practice location
1170 W Chula Vista Rd
Tucson, AZ 85704-3006
Mailing address
1170 W Chula Vista Rd
Tucson, AZ 85704-3006
Phone (520) 743-8156
Other names 1
- Mr. Michael James Rivers
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 |
|---|---|---|---|
| 4697 | AZ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871673657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1170 W CHULA VISTA RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857043006",
"telephone_number": "520-743-8156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1170 W CHULA VISTA RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857043006",
"telephone_number": "520-743-8156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIAGI",
"first_name": "STACEY",
"middle_name": "MARGO",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": "AZ",
"license": "4697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHAEL",
"last_name": "RIVERS",
"middle_name": "JAMES",
"prefix": "MR.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Tucson, AZ
- BHSM Rehabilitation LLC (Banner Physical Therapy)
- BHSM Rehabilitation, LLC
- BHSM Rehabilitation, LLC (Banner Physical Therapy)
- BHSM Rehabilitation, LLC
- BHSM Rehabilitation, LLC (Banner Physical Therapy)
- Sarah Bialik
- Margherita Bialkowski, PHARMD
- Steve A Biancardi, DPT, MSPT
- Henry Edward Bianchi, MD
- Jessica Bianchi, SLPA
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.