Active NPI
Tignex LLC
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Phoenix, AZ
National Provider Identifier
1982822656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- BH-2765
- Legal business name
- TIGNEX LLC
- Practice address
- 2521 E Wood St
Phoenix, AZ 85040-1571 - Phone
- (602) 276-4800
- Fax
- (602) 232-2411
- NPI assigned
- Apr 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Saffie S. Tunis, PHD
- Title
- Tignex Program Director
- Phone
- (480) 217-6996
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | BH-2765 | AZ | Primary |
Addresses
Primary practice location
2521 E Wood St
Phoenix, AZ 85040-1571
Mailing address
2521 E Wood St
Phoenix, AZ 85040-1571
Phone (602) 276-4800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 177981 | Medicaid | AZ | |
| BH-2765 | Other | AZ | AZ BEHAVIORAL HTH LIC. # |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1982822656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2521 E WOOD ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850401571",
"telephone_number": "602-276-4800",
"fax_number": "602-232-2411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2521 E WOOD ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850401571",
"telephone_number": "602-276-4800",
"fax_number": "602-232-2411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIGNEX LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TUNIS",
"authorized_official_first_name": "SAFFIE",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "TIGNEX PROGRAM DIRECTOR",
"authorized_official_telephone_number": "480-217-6996",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "AZ",
"license": "BH-2765",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "177981",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ BEHAVIORAL HTH LIC. #",
"identifier": "BH-2765",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.