Active NPI
Tracey S. Oppenheim, M.D.
- Psychiatry Physician
- Tempe, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35733
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133643 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35733 | AZ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crisis Preparation and Recovery, Inc | Current | Accepting new patients | |
| Rockford Psychiatric Medical Services, S.C. | Psychiatry | Current | Accepting new patients |
| BSW Geode Clinicians of Texas PLLC | Psychiatry | Current | Accepting new patients |
| Shrink Rap | Current | Accepting new patients | |
| Geode Health of Texas, PLLC | Psychiatry | Current | 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
- 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.
-
- Community/Behavioral Health Agency
- Tempe, AZ
- NPI 1912270422
-
- Psychiatry Physician
- Allen, TX
- NPI 1851037162
-
- Psychiatry Physician
- Rockford, IL
- NPI 1821391442
-
- Adult Mental Health Clinic/Center
- Phoenix, AZ
- NPI 1104606151
-
- Adult Mental Health Clinic/Center
- Phoenix, AZ
- NPI 1235182262
-
- Health Service Clinic/Center
- Mesa, AZ
- NPI 1447292214
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1275566200
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.