Organization Active NPI

Shrink Rap

  • Adult Mental Health Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1104606151
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SHRINK RAP
Practice address
1130 E Missouri Ave Ste 500
Phoenix, AZ 85014-2750
Phone
(602) 930-9270
NPI assigned
Oct 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tracey S. OppenheimNPI 1356436836
Title
MD
Phone
(602) 930-9270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

1130 E Missouri Ave Ste 500
Phoenix, AZ 85014-2750

Mailing address

1130 E Missouri Ave Ste 500
Phoenix, AZ 85014-2750
Phone (602) 930-9270

National Provider Directory

National Provider Directory

Locations

1130 E Missouri Ave
Ste 500
Phoenix, AZ 85014
Phone (602) 246-9639

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696464000000",
    "number": "1104606151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 E MISSOURI AVE STE 500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142750",
            "telephone_number": "602-930-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 E MISSOURI AVE STE 500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850142750",
            "telephone_number": "602-930-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHRINK RAP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-05",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-05",
        "status": "A",
        "authorized_official_last_name": "OPPENHEIM",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "602-930-9270"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.