DR. GLENN DAVID TANITA D.M.H.
NPI 1669632006
Psychologist in Sierra Vista, AZ
About Dr. Glenn David Tanita D.m.h. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GLENN DAVID TANITA D.M.H. (NPI 1669632006) is an individual psychologist in Sierra Vista, Arizona, licensed in Arizona (1249) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Other (1985).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Glenn David Tanita D.m.h. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Glenn Tanita reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sierra Vista, AZ 85635
- Reassigned Medicare billing, Arizona enrollment
- 65 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.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SIERRA VISTA, AZ 85635
SIERRA VISTA, AZ 85635
SIERRA VISTA, AZ 85635
SIERRA VISTA, AZ 85635
SIERRA VISTA, AZ 85635
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 Glenn Tanita's NPI number?
The NPI number for Glenn Tanita is 1669632006. It was assigned to this individual provider in the NPPES registry on June 10, 2008.
Where is Glenn Tanita located?
Glenn Tanita practices at 77 Calle Portal Ste C240, Sierra Vista, AZ 85635. The listed phone number is (520) 459-3011.
What is Glenn Tanita's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Glenn Tanita enrolled in Medicare?
Yes. Glenn Tanita is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Glenn Tanita's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Glenn Tanita reassigns Medicare benefits to Chiricahua Community Health Centers, Inc (Sierra Vista, AZ). The 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 Glenn Tanita's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Glenn Tanita accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. and 1 other insurer list Glenn Tanita as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Glenn Tanita was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.