Individual provider Active NPI

Ann Katherine Eberhardt, PSYD

  • Clinical Psychologist
  • Tucson, AZ
National Provider Identifier
1942565601
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY005637 Issued in AZ
Practice address
3129 E 2ND St
Tucson, AZ 85716-4209
Phone
(520) 276-7698
NPI assigned
Jul 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY005637 AZ Primary

Addresses

Primary practice location

3129 E 2ND St
Tucson, AZ 85716-4209

Mailing address

4236 N Rio Cancion Apt 139
Tucson, AZ 85718-7148
Phone (520) 429-3537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241220001717 AZ Practitioner - Clinical Psychologist 6608303227 Reassigns benefits to 1 organization
Practice locations: Tucson, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3129 E 2ND St
Tucson, AZ 85716-4209
Phone (520) 276-7698

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY005637AZMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Renewal Centers Inc CurrentSince Nov 22, 2024 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1942565601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4236 N RIO CANCION APT 139",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857187148",
            "telephone_number": "520-429-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 E 2ND ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857164209",
            "telephone_number": "520-276-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERHARDT",
        "first_name": "ANN",
        "middle_name": "KATHERINE",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "PSY005637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.