Active NPI
Cela M Archambault, PH.D.
- Psychologist
- Tucson, AZ
National Provider Identifier
1982690970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3279
- Practice address
- 3100 N Campbell Ave
Suite 104
Tucson, AZ 85719-2315 - Phone
- (520) 797-7246
- Fax
- (520) 795-4249
- NPI assigned
- Sep 23, 2005
- Reactivated
- Apr 5, 2006
- Last updated
- Oct 19, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3279 | AZ | Primary |
Addresses
Primary practice location
3100 N Campbell Ave
Suite 104
Tucson, AZ 85719-2315
Mailing address
3100 N Campbell Ave
# 104
Tucson, AZ 85719-7305
Phone (520) 797-7246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 468836 | Medicaid | AZ |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3279 | AZ | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen S Able MD PLLC | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Oro Valley, AZ
- NPI 1902935083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192752000000",
"number": "1982690970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 N CAMPBELL AVE",
"address_2": "# 104",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857197305",
"telephone_number": "520-797-7246",
"fax_number": "520-795-4249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 N CAMPBELL AVE",
"address_2": "SUITE 104",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857192315",
"telephone_number": "520-797-7246",
"fax_number": "520-795-4249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARCHAMBAULT",
"first_name": "CELA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-23",
"last_updated": "2007-10-19",
"deactivation_date": "2006-03-24",
"reactivation_date": "2006-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "3279",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "468836",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
- Arc Tucson LLC (Innovative Senior Care at Freedom Inn at Ventana Canyon)
- Arcadia Home Health Products, Inc.
- Ismael Arce Jr.
- Raymond Troy Arce, DR OF ACUPUNCTURE
- Ella Marie Arceneaux, BCBA
- Holland R Archambault, FNP
- Archer Bodyworks LLC
- Cadie M Archer, B.S.
- Kaylynn Mage Archer
- Patricia A. Archer, MS, LAC-CO, LIAC-AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.