TINA THACH PMHNP-BC
NPI 1508507856
Nurse Practitioner - Psychiatric/Mental Health in Philadelphia, PA
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
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tina Thach Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Tina Thach reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19145
- Reassigned Medicare billing, Pennsylvania enrollment
- 10 clinicians in this Medicare group
Haddon Township, NJ 08108
- Reassigned Medicare billing, New Jersey enrollment
- 2,074 clinicians in this Medicare group
Penndel, PA 19047
- Reassigned Medicare billing, Pennsylvania enrollment
- 34 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organizations bill Medicare for Tina Thach's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tina Thach reassigns Medicare benefits to 3 organizations: Malvern Constitution LLC (Philadelphia, PA), Virtua Medical Group, PA (Haddon Township, NJ) and Penndel Mental Health Center, Inc. (Penndel, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tina Thach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 3 months 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.
# Tina Thach, PMHNP-BC · NPI 1508507856
Psychiatric/Mental Health physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 1, 2022.
## Identity
- **NPI:** 1508507856 (Entity type: Individual)
- **Enumerated:** April 1, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** SP025735 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1930 S BROAD ST, Philadelphia, PA 19145-2328
- **Phone:** (267) 752-9203
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Malvern Constitution LLC (NPI 1952268195, Philadelphia, PA); Virtua Medical Group, PA (NPI 1932659778, Haddon Township, NJ); Penndel Mental Health Center, Inc. (NPI 1710019096, Penndel, PA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1508507856) · Data from the CMS NPPES public registry.