| Tc Psychiatry Pllc | |
|
1201 S 7th Ave Ste 200 Phoenix AZ 85007-4076 | |
| (623) 236-2000 | |
| Not Available |
| Full Name | Tc Psychiatry Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1201 S 7th Ave Ste 200, Phoenix, Arizona |
| Authorized Official Name and Position | Ernest Cochran (OWNER) |
| Authorized Official Contact | 6233082472 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tc Psychiatry Pllc 19801 N 59th Ave Unit 11706 Glendale AZ 85318-5070 Ph: () - | Tc Psychiatry Pllc 1201 S 7th Ave Ste 200 Phoenix AZ 85007-4076 Ph: (623) 236-2000 |
| NPI Number | 1235912635 |
|---|---|
| Provider Enumeration Date | 08/17/2023 |
| Last Update Date | 08/17/2023 |
| Certification Date | 08/17/2023 |
| Medicare PECOS PAC ID | 1759735392 |
|---|---|
| Medicare Enrollment ID | O20230929002465 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235912635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Ernest Cochran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477964260 PECOS PAC ID: 3870842651 Enrollment ID: I20230929002645 |
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