Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TINA THACH PMHNP-BC
NPI 1508507856
Nurse Practitioner - Psychiatric/Mental Health in Philadelphia, PA

Active since April 01, 2022PECOS Enrolled
1930 S BROAD ST, PHILADELPHIA, PA 19145(267) 752-9203 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 14, 2026, Jul 6, 2026 (2 updates tracked since 2026).

About Tina Thach Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TINA THACH PMHNP-BC (NPI 1508507856) is an individual psychiatric/mental health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP025735) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Voorhees.

NPPES Registry Identity

NPI1508507856
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTINA THACHCredential: PMHNP-BC
Location Address1930 S BROAD STPhiladelphia, PA 19145-2328
Mailing Address1930 S Broad StPhiladelphia, PA 19145-2328 · (215) 703-8074
Sole ProprietorNo
Enumeration DateApril 1, 2022
Last NPPES UpdateJuly 14, 20262 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
NPI 1508507856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in PA · SP025735 Licensed in NJ · 26NJ15299700
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License RN635595 (PA)
1930 S BROAD ST, Philadelphia, PA 19145

Other Names 1

Professional Name (2)Tina L Thach Pmhnp-bc

Secondary Practice Location 1

Location 1100 Bowman Drive Lower Level 3Voorhees, NJ 08043 · Phone (856) 355-7118 · Fax (856) 325-5222

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tina Thach Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19145 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
1930 S BROAD ST
PHILADELPHIA, PA 19145
Social Worker (Clinical)
1930 S BROAD ST
PHILADELPHIA, PA 19145
Registered Nurse
1930 S BROAD ST
PHILADELPHIA, PA 19145
Occupational Therapy Assistant
1930 S BROAD ST
PHILADELPHIA, PA 19145
Hospitalist
1930 S BROAD ST
PHILADELPHIA, PA 19145
Pharmacy (Community/Retail Pharmacy)
1930 S BROAD ST, UNIT 15
PHILADELPHIA, PA 19145
Registered Nurse
1930 S BROAD ST
PHILADELPHIA, PA 19145
Registered Nurse
1930 S BROAD ST
PHILADELPHIA, PA 19145

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tina Thach's NPI number?

The NPI number for Tina Thach is 1508507856. It was assigned to this individual provider in the NPPES registry on April 1, 2022. The provider is also known as Tina L Thach Pmhnp-Bc.

Where is Tina Thach located?

Tina Thach practices at 1930 S Broad St, Philadelphia, PA 19145. The listed phone number is (267) 752-9203.

What is Tina Thach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tina Thach enrolled in Medicare?

Yes. Tina Thach is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tina Thach was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.