Active NPI
Thomas A Opechowski, M.D.
- Psychiatry Physician
- Mesa, AZ
National Provider Identifier
1285713636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 22676
- Practice address
- 2929 N. Power Rd
Suite 101
Mesa, AZ 85215 - Phone
- (480) 827-6878
- Fax
- (360) 566-6778
- NPI assigned
- Nov 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 22676 | AZ | Primary |
Addresses
Primary practice location
2929 N. Power Rd
Suite 101
Mesa, AZ 85215
Mailing address
2929 N. Power Rd
Suite 101
Mesa, AZ 85215
Phone (480) 827-6878
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22676 | Other | AZ | LICENSE |
| 312059 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22676 | AZ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278892800000",
"number": "1285713636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2929 N. POWER RD",
"address_2": "SUITE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "85215",
"telephone_number": "480-827-6878",
"fax_number": "360-566-6778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2929 N. POWER RD",
"address_2": "SUITE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "85215",
"telephone_number": "480-827-6878",
"fax_number": "360-566-6778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OPECHOWSKI",
"first_name": "THOMAS",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2010-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "22676",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "22676",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "312059",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.