Organization Active NPI

Tignex LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1982822656
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
BH-2765 Issued in AZ
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
177981MedicaidAZ
BH-2765OtherAZAZ BEHAVIORAL HTH LIC. #

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.