PATRICIA PENN (NPI# 1164552386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164552386 |
| Entity Type | Individual |
| Full Name | PATRICIA PENN |
| Credential | PH.D. |
| Practice Address |
502 W 29th St Tucson AZ 85713-3353 |
| Practice Telephone | 5208849920 |
| Practice Fax Number | 5207920654 |
| Mailing Telephone | 5208849920 |
| Mailing Fax Number | 5207920654 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | 1959 | AZ | Behavioral Health & Social Service Providers |
| X | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
1959 | AZ | Behavioral Health & Social Service Providers |
| X | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
1959 | AZ | Behavioral Health & Social Service Providers |
| X | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
1959 | AZ | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
1959 | AZ | Behavioral Health & Social Service Providers |
| X | 103TC1900X |
Psychologist Specialization: Counseling |
1959 | AZ | Behavioral Health & Social Service Providers |
| X | 103TF0000X |
Psychologist Specialization: Family |
1959 | AZ | Behavioral Health & Social Service Providers |
| X | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
1959 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 505191 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740331644 | Patricia Ann Penn | Social Worker | 3880 S Bascom Ave, Suite 212, San Jose, CA 95124-2674 | 2007-01-16 |
| Street Address |
502 W 29TH ST |
| City | TUCSON |
| State | AZ |
| Zip Code | 85713-3353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548218555 | Dean Wm Mckenzie | Psychologist | 502 W 29th St, Tucson, AZ 85713-3353 | 2006-05-04 |
| 1760021570 | Amanda Lynn Manzer | Counselor | 502 W 29th St, Tucson, AZ 85713-3394 | 2019-12-26 |
| 1336796861 | Katy M Obert | Marriage & Family Therapist | 502 W 29th St, Tucson, AZ 85713-3353 | 2019-08-20 |
| 1588137715 | Elizabeth Dampsey | Psychologist | 502 W 29th St, Tucson, AZ 85713-3394 | 2019-01-10 |
| 1033601745 | Melissa Evans Greene | Counselor | 502 W 29th St, Tucson, AZ 85713-3353 | 2018-05-30 |
| 1407388143 | Christina Rodriguez | Social Worker | 502 W 29th St, Tucson, AZ 85713-3353 | 2017-03-31 |
| 1861924839 | Danette Cienfuegos | Counselor | 502 W 29th St, Tucson, AZ 85713-3353 | 2017-03-29 |
| 1578004123 | Jennifer A Fout | Counselor | 502 W 29th St, Tucson, AZ 85713-3353 | 2017-03-15 |
| 1679020572 | La Frontera Center, Inc. | Community/Behavioral Health | 502 W 29th St, Tucson, AZ 85713-3353 | 2016-09-08 |
| 1225423460 | Annalisa Castro | Social Worker | 502 W 29th St, Tucson, AZ 85713-3353 | 2015-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679115489 | Eric James Mccracken | Nurse Practitioner | 1230 South Cherrybell Stravanue, Tucson, AZ 85713 | 2019-10-14 |
| 1336702448 | Julie Tomkins | Psychiatry & Neurology | Behavioral Health Pavilion, 2800 E Ajo Way, Tucson, AZ 85713 | 2019-04-16 |
| 1861958332 | El Rio Santa Cruz Neighborhood Health Center, Inc | Pharmacy | 1230 S Cherrybell Strav, Tucson, AZ 85713 | 2019-02-20 |
| 1164993002 | Lisa Ann Lindsay | Nurse Practitioner | 1230 S Cherrybell Stravenue, Tucson, AZ 85713 | 2018-12-17 |
| 1043701717 | Ramsha Saeed Rao | Student in an Organized Health Care Education/Training Program | Maria Jennings 2800 E. Ajo Way, Tucson, AZ 85713 | 2018-05-29 |
| 1215381736 | Nancy G Larison | Counselor | 504 W 29th Street, La Frontera Center, Inc., Tucson, AZ 85713 | 2016-04-21 |
| 1053791749 | Eric Lederer | Emergency Medicine | 3950 S. Country Club Rd, Ste. 200, Tucson, AZ 85713 | 2015-06-08 |
| 1942625025 | Eugene Randolph Shields | Obstetrics & Gynecology | 2315 W. Ocelot Drive, Tucson, AZ 85713 | 2014-02-26 |
| 1821361973 | Irene A Laventure | Nurse Practitioner | 2800 East Ajo Way, University of Arizona Medical Center - South Campus, Tucson, AZ 85713 | 2012-02-21 |
| 1386917417 | Caring Together,llc | Respite Care | 2957 E 24th Street, Tucson, AZ 85713 | 2012-02-21 |
| Find all providers in zip 85713 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871116632 | Rhonda L. Smith | Psychologist | 4032 E Whitman St, Tucson, AZ 85711-2854 | 2020-05-27 |
| 1902426208 | Elisabetta Ambrosia | Psychologist | 4605 N Paseo Aquimuri, Tucson, AZ 85750-1613 | 2020-04-16 |
| 1760036826 | Rehabilitation Psychological Services | Psychologist | 2126 N Catalina Ave Unit 1, Tucson, AZ 85712-3364 | 2019-07-27 |
| 1831759240 | The University of Arizona | Psychologist | 1335 N Cherry Ave, Tucson, AZ 85721-0105 | 2019-06-18 |
| 1750849519 | Savannah Wright | Psychologist | 3001 S Pantano Edge Dr, Tucson, AZ 85730-2051 | 2019-03-11 |
| 1699259986 | Kimberly Thiessen | Psychologist | 1022 W Ina Rd Ste 9, Tucson, AZ 85704-3109 | 2018-09-21 |
| 1649764259 | Nicole Marie Farmer | Psychologist | 3601 S 6th Ave # 90, Tucson, AZ 85723-0001 | 2018-06-18 |
| 1356841894 | John Marcus Jensen | Psychologist | 8608 E Old Spanish Trl Apt 91, Tucson, AZ 85710-4326 | 2018-02-20 |
| 1639680812 | Daniel Mcdonnell | Psychologist | 8221 E Ocotillo Dr, Tucson, AZ 85750-9667 | 2017-10-16 |
| 1801282496 | Michael Patrick Christiansen | Psychologist | 205 E University Blvd, Tucson, AZ 85705-7740 | 2015-04-09 |
| Find all providers in TUCSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.