Healthcare Provider Details

I. General information

NPI: 1699695908
Provider Name (Legal Business Name): KUCHANSKIY PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6375 E TANQUE VERDE RD STE 140
TUCSON AZ
85715-3863
US

IV. Provider business mailing address

1208 E LIBBY ST
PHOENIX AZ
85022-1252
US

V. Phone/Fax

Practice location:
  • Phone: 520-885-4679
  • Fax:
Mailing address:
  • Phone: 520-360-6757
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ALEKSEY ALEXANDER KUCHANSKIY
Title or Position: OWNER
Credential: PMHNP
Phone: 520-360-6757