DR. LETTY GUPIT TAN-FERMO M.D.
NPI 1710097225
Psychiatry & Neurology - Psychiatry in Glendale, AZ

Q: What is Letty Tan-fermo's NPI number?

The NPI number for Letty Tan-fermo is 1710097225. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Q: What is Letty Tan-fermo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Letty Tan-fermo was last updated on February 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment

5701 W TALAVI BLVD, SUITE 180, GLENDALE, AZ 85306(623) 486-8082(623) 486-2739 Get Directions Write a Review

NPPES record last updated: February 16, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Letty Gupit Tan-fermo M.d. NPPES

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

DR. LETTY GUPIT TAN-FERMO M.D. (NPI 1710097225) is an individual psychiatry provider in Glendale, Arizona, licensed in Arizona (28320) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1710097225

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameDR. LETTY GUPIT TAN-FERMOCredential: M.D.

Location Address5701 W TALAVI BLVD, SUITE 180Glendale, AZ 85306-1886

Mailing Address4747 N 7th St, Suite 100Phoenix, AZ 85014-3653 · (602) 279-7655 · Fax (602) 264-1806

Phone(623) 486-8082

Fax(623) 486-2739

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateAugust 30, 2006

Last NPPES UpdateFebruary 16, 2012

✔ NPI 1710097225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in AZ · 28320

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

5701 W TALAVI BLVD, Glendale, AZ 85306

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Other Identifiers 2

Medicare ID-Type Unspecified69380AZ

Medicare UPINH18971AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Letty Gupit Tan-fermo M.d. 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.

PECOS PAC ID6800811787

PECOS Enrollment IDI20051010000853

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 85306 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

$168.60 typical visit price

range $55.44 – $168.60

Typical copayment $42.15 (range $13.86 – $42.15)

Most-billed visit code 99205

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

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.

AMY FLORES

Behavior Technician

5701 W TALAVI BLVD
GLENDALE, AZ 85306

Maricopa County (855) 223-7123

BAILEY DUNN

Behavior Technician

5701 W TALAVI BLVD
GLENDALE, AZ 85306

Maricopa County (855) 223-7123

MONICA SHOPPA

Behavior Technician

5701 W TALAVI BLVD
GLENDALE, AZ 85306

Maricopa County (855) 223-7123

BRITTNIE HENIGE

Behavior Technician

5701 W TALAVI BLVD
GLENDALE, AZ 85306

Maricopa County (855) 223-7123

JENEE POLK

Counselor (Mental Health)

5701 W TALAVI BLVD, SUITE 180
GLENDALE, AZ 85306

Maricopa County (623) 486-8202

NINA HOEDEBECK

Behavior Technician

5701 W TALAVI BLVD
GLENDALE, AZ 85306

Maricopa County (855) 223-7123

CELICIA SERMENO

Behavior Technician

5701 W TALAVI BLVD
GLENDALE, AZ 85306

Maricopa County (855) 223-7123

RUBEN FRANCISCO GRACE III LMSW

Counselor (Mental Health)

5701 W TALAVI BLVD, SUITE 180
GLENDALE, AZ 85306

Maricopa County (623) 486-8202

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 Letty Tan-fermo's NPI number?

The NPI number for Letty Tan-fermo is 1710097225. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Letty Tan-fermo located?

Letty Tan-fermo practices at 5701 W Talavi Blvd Suite 180, Glendale, AZ 85306. The listed phone number is (623) 486-8082.

What is Letty Tan-fermo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Letty Tan-fermo enrolled in Medicare?

Yes. Letty Tan-fermo 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.

What insurance does Letty Tan-fermo accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Letty Tan-fermo 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 Letty Tan-fermo was last updated on February 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.