Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Soulistic Medical Institute

Organization Clinical Psychologist · NPI 1215986104

Soulistic Medical Institute provides Clinical Psychologist services in Tubac, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
Specialties on file
2

Practice location Address checks out

26 Tubac Rd Ste B
Tubac, AZ 85646 Not confirmed with CMS for 14 years — call before visiting
Phone: (520) 398-3970
Fax: (520) 398-2944
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 27940 (AZ)
Clinical Psychologist Taxonomy 103TC0700X · Licence 3784 (AZ)

Record details

NPI number1215986104
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marayeh Cunningham — Managing Director · (520) 398-3970
NPI enumeratedMay 8, 2006
Last updated in NPPESNovember 29, 2011
Mailing addressPo Box 1990, Tubac, AZ 85646-1990

Other providers in Tubac