Individual provider Active NPI

Jennifer Tran, D.O.

  • Psychiatry Physician
  • Tucson, AZ
National Provider Identifier
1114452190
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
008980 Issued in AZ
Practice address
1230 S Cherrybell Stra
Tucson, AZ 85713-1907
Phone
(520) 670-3909
Fax
(520) 309-2560
NPI assigned
Apr 27, 2017
Last updated
May 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 008980 AZ Primary

Addresses

Primary practice location

1230 S Cherrybell Stra
Tucson, AZ 85713-1907

Mailing address

839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211104002839 AZ Practitioner - Psychiatry 4082969175 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
008980AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonora Behavioral Health Hospital, LLC CurrentSince Aug 7, 2021 Accepting new patients
Lifepoint Behavioral Health Physician Services LLC Psychiatry CurrentSince Mar 19, 2025 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc Current Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Nov 1, 2024 Accepting new patients
Cornerstone Behavioral Health Tucson CurrentSince Sep 17, 2025 Accepting new patients
Sonora Behavioral Health Hospital, LLC CurrentSince Aug 7, 2021 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Nov 1, 2024 Accepting new patients

Locations

1230 S Cherrybell Stra
Tucson, AZ 85713
Phone (520) 205-4997

1400 N Wilmot Rd
Tucson, AZ 85712
Phone (520) 222-8268

6050 N Corona Rd
Tucson, AZ 85704
Phone (520) 469-8100

839 W Congress St
Tucson, AZ 85745
Phone (520) 670-3707

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1114452190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 W CONGRESS ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452819",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 S CHERRYBELL STRA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857131907",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "JENNIFER",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "008980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.