Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tina Thach, PMHNP-BC

Individual provider Psychiatry Physician · NPI 1508507856

Tina Thach, PMHNP-BC is a Psychiatry Physician in Philadelphia, Pennsylvania. Works from 2 locations. Licensed in New Jersey and Pennsylvania.

Licensed in
NJ, PA
In the registry since
2022
Specialties on file
3
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

1930 S Broad St
Philadelphia, PA 19145-2328
Phone: (267) 752-9203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Bowman Drive Lower Level 3, Voorhees, NJ 08043 — (856) 355-7118

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence SP025735 (PA)
Psychiatry Physician Taxonomy 2084P0800X · Licence RN635595 (PA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 26NJ15299700 (NJ)

Record details

NPI number1508507856
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedApril 1, 2022
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026

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