Individual provider Active NPI

Allison Rebecca Optican, M.D.

  • Psychiatry Physician
  • Saint Louis, MO
National Provider Identifier
1629429865
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
63612 Issued in AZ
Practice address
1 Barnes Jewish Hospital PLZ
Barnes-Jewish Hospital
Saint Louis, MO 63110-1003
Phone
(314) 362-5000
NPI assigned
Jun 29, 2016
Last updated
Aug 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 63612 AZ Primary
Psychiatry Physician 2084P0800X 2016019462 MO

Addresses

Primary practice location

1 Barnes Jewish Hospital PLZ
Barnes-Jewish Hospital
Saint Louis, MO 63110-1003

Mailing address

6408 E Tanque Verde Rd
Tucson, AZ 85715-3809
Phone (520) 885-5558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AZ2 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

Enrollment IDStateProvider typePAC IDDetails
I20200930002416 MO Practitioner - Psychiatry 4688908551 Reassigns benefits to 1 organization
I20210813001565 AZ Practitioner - Psychiatry 4688908551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Northeastern Ohio University College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uhs of Tucson LLCGroup PAC ID 1456588144, 11 clinicians

Practice addresses (Care Compare)

2695 N Craycroft Rd
Tucson, AZ 85712-2243
Phone (520) 322-2888

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2016019462MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aleph Center, P.L.L.C. Psychiatry CurrentSince May 11, 2021 Accepting new patients
Uhs of Tucson LLC Psychiatry CurrentSince Nov 1, 2021 Accepting new patients
Uhs of Tucson LLC CurrentSince Nov 1, 2021 Accepting new patients
Uhs of Tucson, LLC Past Accepting new patients

Locations

2695 N Craycroft Rd
Tucson, AZ 85712
Phone (520) 322-2888

6408 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 885-5558

Organizations & group practices 5

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": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1629429865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6408 E TANQUE VERDE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153809",
            "telephone_number": "520-885-5558",
            "fax_number": "520-885-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BARNES JEWISH HOSPITAL PLZ",
            "address_2": "BARNES-JEWISH HOSPITAL",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101003",
            "telephone_number": "314-362-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPTICAN",
        "first_name": "ALLISON",
        "middle_name": "REBECCA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "63612",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2016019462",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.