Individual provider Active NPI

Tracey S. Oppenheim, M.D.

  • Psychiatry Physician
  • Tempe, AZ
National Provider Identifier
1356436836
Registry record updated Apr 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35733 Issued in AZ
Practice address
2120 S McClintock Dr
Suite 105
Tempe, AZ 85282-2692
Phone
(480) 804-0326
Fax
(480) 804-0083
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2017

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 35733 AZ Primary

Addresses

Primary practice location

2120 S McClintock Dr
Suite 105
Tempe, AZ 85282-2692

Mailing address

1400 E. Southern Ave
Ste. 735
Tempe, AZ 85282-2692
Phone (480) 804-0326

Other identifiers 1

IdentifierTypeStateIssuer
133643MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20061104000066 AZ Practitioner - Psychiatry 7214905140 Reassigns benefits to 1 organization
I20250716001058 TX Practitioner - Psychiatry 7214905140 Reassigns benefits to 2 organizations
I20260206001522 IL Practitioner - Psychiatry 7214905140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2120 S McClintock Dr
Suite 105
Tempe, AZ 85282-2692
Phone (480) 804-0326

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35733AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crisis Preparation and Recovery, Inc CurrentSince Mar 18, 2010 Accepting new patients
Rockford Psychiatric Medical Services, S.C. Psychiatry CurrentSince Jan 28, 2026 Accepting new patients
BSW Geode Clinicians of Texas PLLC Psychiatry CurrentSince Sep 1, 2025 Accepting new patients
Shrink Rap CurrentSince Oct 8, 2023 Accepting new patients
Geode Health of Texas, PLLC Psychiatry CurrentSince Jul 7, 2025 Accepting new patients
Banner -- University Medical Center Phoenix Campus Behavioral Health Past Accepting new patients
Banner Behavioral Health - East Valley Past Accepting new patients

Locations

2314 S Val Vista Dr
Ste 101
Gilbert, AZ 85295

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

1130 E Missouri Ave
Ste 500
Phoenix, AZ 85014
Phone (602) 471-1249

9321 W Thomas Rd
Ste 100
Phoenix, AZ 85037

3260 N Hayden Rd
Ste 112
Scottsdale, AZ 85251
Phone (602) 264-9100

7575 E Earll Dr
Scottsdale, AZ 85251
Phone (480) 448-7500

2120 S McClintock Dr
Ste 105
Tempe, AZ 85282

1400 E Southern Ave
Ste 735
Tempe, AZ 85282

3223 N Sheffield Ave
Ste C
Chicago, IL 60657
Phone (630) 755-5276

188 W Industrial Dr
Ste 236
Elmhurst, IL 60126
Phone (630) 607-0498

1211 W 22nd St
Ste 406
Oak Brook, IL 60523

1639 N Alpine Rd
Ste 260
Rockford, IL 61107
Phone (815) 395-1500

4119 Montrose Blvd
Ste 230
Houston, TX 77006
Phone (281) 990-1506

768 Bandit Trl
Keller, TX 76248
Phone (817) 865-3954

3009 E Renner Rd
Ste 120
Richardson, TX 75082
Phone (469) 808-1690

7000 Bee Caves Rd
Ste 325
West Lake Hills, TX 78746
Phone (512) 200-8334

Interoperability endpoints

  • Direct secure messaging: tracey.oppenheim.1@25899.direct.athenahealth.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492905600000",
    "number": "1356436836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E. SOUTHERN AVE",
            "address_2": "STE. 735",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822692",
            "telephone_number": "480-804-0326",
            "fax_number": "480-804-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 S MCCLINTOCK DR",
            "address_2": "SUITE 105",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822692",
            "telephone_number": "480-804-0326",
            "fax_number": "480-804-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPPENHEIM",
        "first_name": "TRACEY",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2017-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "35733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133643",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.