Adam John Opbroek, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

9789 Issued in SD

Practice address

115 N 7TH St
Ste 6
Spearfish, SD 57783-2700

Phone

(605) 645-0100

Fax

(605) 717-1009

NPI assigned

May 26, 2006

Last updated

Feb 1, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA, SD2 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 2

Specialty

Psychiatry

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Riverside, CA
  • NPI 1316979834
  Medicare reassignment Care Compare group NPD
• Monument Health Rapid City Hospital, Inc

  dba Monument Health Behavioral Health Center

  • Multi-Specialty Clinic/Center
  • Rapid City, SD
  • NPI 1275553463
  Medicare reassignment NPD
• Monument Health Rapid City Hospital Inc

  dba Monument Health Rapid Valley Clinic

  • Urgent Care Clinic/Center
  • Rapid City, SD
  • NPI 1215727854
  NPD
• Monument Health Rapid City Hospital, Inc.

  dba Monument Health Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rapid City, SD
  • NPI 1487621116
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Santa Clarita, CA
  • NPI 1316409410
  NPD
• Southern California Permanente Medical Group

  • Health Maintenance Organization
  • Fontana, CA
  • NPI 1689606196
  NPD
• Claremont Optometry Group

  • Optometrist
  • Claremont, CA
  • NPI 1710105846
  NPD (past)
• Cope Community Services, Inc.

  • Professional Counselor
  • Tucson, AZ
  • NPI 1336863695
  NPD (past)
• Foothills Psychological Services, Inc.

  • Psychologist
  • Upland, CA
  • NPI 1336121888

  Psychiatry

  NPD (past)
• Traditions Psychiatry Group, P.C

  dba Traditions Behavioral Health

  • Psychiatry Physician
  • Santa Rosa, CA
  • NPI 1083802979
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1629024120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N 7TH ST STE 6",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832710",
            "telephone_number": "605-645-0100",
            "fax_number": "605-717-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N 7TH ST",
            "address_2": "STE 6",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832700",
            "telephone_number": "605-645-0100",
            "fax_number": "605-717-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPBROEK",
        "first_name": "ADAM",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SD",
            "license": "9789",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "SD",
            "license": "9789",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2011192",
            "state": "SD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "9961 Sierra Ave",
            "city": "Fontana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923356720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniel Ochoa
• Kimberly Olson
• Lindsy R Olson, RPT
• Melissa M Olson, PHARM.D.
• Alyssa Kay Oltmanns, DC
• Ormseth Acupuncture and Herbal Medicine
• Chris Paul Ormseth I
• April Leanna Owen, PHARMD
• James L. Pabst, M.S. LPC, NCC
• Stephanie Gay Painton, M.S., CCC-SLP

• Psychiatry Physician in Spearfish, SD
• Providers in Spearfish, SD by specialty
• Psychiatry Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.

Verify at the official NPI Registry.