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One provider matched this enrollment ID.

Enrollment ID O20200319002066 resolves to a single NPI record. Open the full profile for complete detail.

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TU
NPI · 1508406745 · Active
Tailored 2 U Psychiatry, PLLC
Psychiatric/Mental Health Nurse Practitioner · Glendale, Arizona
Active
NPI
1508406745
Enrollment ID
O20200319002066
Taxonomy
363LP0808X
Type
Part B Supplier - Clinic/Group Practice

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 1619476207AZ· Issued by NPI
  • 1508406745AZ· Issued by GROUP NPI

Medicaid

Source: NPPES public registry.

ReferenceAbout Medicare Enrollment IDs

A Medicare Enrollment ID (ENRLMT_ID) is a 15-character public identifier assigned by the CMS Provider Enrollment, Chain and Ownership System (PECOS) when a provider, supplier, or organisation enrols in Medicare. Each row reflects one enrolment record: a single NPI can hold multiple enrolments across provider types, states, or supplier categories. Data here is mirrored from the quarterly public PECOS enrolment file published on data.cms.gov.