Organization Active NPI

Mer Otis

  • Community/Behavioral Health Agency
  • Tucson, AZ
National Provider Identifier
1932595394
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
4155 Issued in MA
Legal business name
MER OTIS
Practice address
4665 W Lessing LN
Tucson, AZ 85742-4439
Phone
(520) 861-1331
NPI assigned
Apr 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Authorized official

Name
Ms. Mer Otis
Title
Principal
Phone
(520) 861-1331

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 4155 MA Primary
Health Maintenance Organization 302R00000X 4155 MA

Addresses

Primary practice location

4665 W Lessing LN
Tucson, AZ 85742-4439

Mailing address

4665 W Lessing LN
Tucson, AZ 85742-4439
Phone (520) 861-1331

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1932595394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4665 W LESSING LN",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857424439",
            "telephone_number": "520-861-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4665 W LESSING LN",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857424439",
            "telephone_number": "520-861-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MER OTIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "OTIS",
        "authorized_official_first_name": "MER",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "520-861-1331",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MA",
            "license": "4155",
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MA",
            "license": "4155",
            "primary": false
        }
    ],
    "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 Apr 13, 2015; 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.