DIVINE INTERVENTIONAL PSYCHIATRY PLLC
NPI 1548109366
Nurse Practitioner - Psychiatric/Mental Health in Goodyear, AZ
About Divine Interventional Psychiatry Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIVINE INTERVENTIONAL PSYCHIATRY PLLC (NPI 1548109366) is a healthcare organization registered as a psychiatric/mental health in Goodyear, Arizona and active in the NPI registry since March 2026. The organization lists Doris Tih, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Divine Interventional Psychiatry Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Divine Interventional Psychiatry PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Divine Interventional Psychiatry PLLC's NPI number?
The NPI number for Divine Interventional Psychiatry PLLC is 1548109366. It was assigned to this organization in the NPPES registry on March 26, 2026.
Where is Divine Interventional Psychiatry PLLC located?
Divine Interventional Psychiatry PLLC is located at 1360 N Bullard Ave Ste 200, Goodyear, AZ 85395. The listed phone number is (310) 940-2265.
What is Divine Interventional Psychiatry PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Divine Interventional Psychiatry PLLC enrolled in Medicare?
Yes. Divine Interventional Psychiatry PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Divine Interventional Psychiatry PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Divine Interventional Psychiatry PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Divine Interventional Psychiatry PLLC was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Divine Interventional Psychiatry Pllc · NPI 1548109366
Psychiatric/Mental Health organization in Goodyear, Arizona. Organization record, active in the CMS NPPES registry since March 26, 2026.
## Identity
- **NPI:** 1548109366 (Entity type: Organization)
- **Enumerated:** March 26, 2026
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Doris Tih, OWNER
## Practice location
- **Address:** 1360 N BULLARD AVE STE 200, Goodyear, AZ 85395-2744
- **Phone:** (310) 940-2265
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1548109366) · Data from the CMS NPPES public registry.