FOUNTAIN PLAZA TUCSON
NPI 1427761055
Psychologist - Clinical in Tucson, AZ
NPI Status: Active since December 28, 2022
Contact Information
6060 N FOUNTAIN PLAZA DR STE 140
TUCSON, AZ
ZIP 85704
Phone: (480) 712-4600
Fax: (480) 219-7138
- Organization
- Psychologist
- Clinical
- Accepts Insurance
- CLIA Number: 03D2210090
- CLIA Cert. Type: Comp. Outpatient Rehab Facility
- CLIA Exp. Date: 01-18-2027
About FOUNTAIN PLAZA TUCSON
This page provides the complete NPI Profile along with additional information for Fountain Plaza Tucson, a provider established in Tucson, Arizona operating as a Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1427761055 assigned on December 2022. The practitioner's primary taxonomy code is 103TC0700X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Fountain Plaza Tucson operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Fountain Plaza Tucson. The authorized official of this NPI record is Mrs. Cindy Proffitt C.c.s., C.p.b., Emt- (Director Of Billing)
- NPI
- 1427761055
- Provider Legal Name
- RECOVIA LLC
- Other Organization Name
- FOUNTAIN PLAZA TUCSON
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 6060 N FOUNTAIN PLAZA DR STE 140 TUCSON, AZ 85704
- Location Phone
- (480) 712-4600
- Location Fax
- (480) 219-7138
- Mailing Address
- PO BOX 20216 PHOENIX, AZ 85036
- Mailing Phone
- (480) 712-4600
- Mailing Fax
- (480) 219-7138
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 12-28-2022
- Last Update Date
- 12-10-2024
- Code Navigator
A clinical psychologist like Fountain Plaza Tucson assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | |
| 2 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | |
| 3 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | |
| 4 | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | |
| 5 | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | |
| 6 | 103TB0200X | Behavioral Health & Social Service Providers | Psychologist | |
| 7 | 103TR0400X | Behavioral Health & Social Service Providers | Psychologist | |
| 8 | 163WA0400X | Nursing Service Providers | Registered Nurse | |
| 9 | 163WP0808X | Nursing Service Providers | Registered Nurse |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AZ Blue ACA StandardHealth Silver with Health Choice - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1427421098 | MEDICAID (05) | AZ |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D2210090
- Facility Type
- Comp. Outpatient Rehab Facility
- Certificate Effective Date
- January 19, 2025
- Certificate Expiration Date
- January 18, 2027
- Laboratory Director
- SCOTT A. HAVENS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Fountain Plaza Tucson to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1427761055, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427761055, enumerated as an "organization" on December 28, 2022.
The provider is located at 6060 N FOUNTAIN PLAZA DR STE 140 TUCSON, AZ 85704 and the phone number is (480) 712-4600.
Psychologist with taxonomy code 103TC0700X and a focus in Clinical.
The provider might be accepting Accepts: Blue Cross Blue Shield of Arizona, Medicare and. Please consult your insurance carrier or call the provider to verify.
