DR. TRACIE DANIELLE HARVEY (NPI# 1013970037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013970037 |
Entity Type | Individual |
Full Name | DR. TRACIE DANIELLE HARVEY |
Credential | M.D. |
Practice Address |
225 Academy Ave Sanger CA 93657-2128 |
Mailing Address |
4174 Levelside Ave Lakewood CA 90712-4031 |
Practice Telephone | 5598757705 |
Mailing Telephone | 5622344750 |
Enumeration Date | 2006-04-10 |
Last Update Date | 2020-06-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
G83052 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00G830520 | 05 | |
CA | G83052 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
4211 Avalon Blvd, Los Angeles, CA 900115622 | 3232330425 | |
506 N Kaweah Ave, Exeter, CA 932211271 | 5595944969 | |
711 N Court St, Visalia, CA 932913638 | 5596271490 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033638879 | Tracie Lynne Harvey | Physical Therapy Assistant | 2060 Bells Hwy, Walterboro, SC 29488-6815 | 2017-09-13 |
Street Address |
225 ACADEMY AVE |
City | SANGER |
State | CA |
Zip Code | 93657-2128 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699828319 | Fresno County East County Regional Mh Clinic | Clinic/Center | 225 Academy Ave, Sanger, CA 93657-2128 | 2007-01-18 |
1194873810 | Michael Valenzuela | Social Worker | 225 Academy Ave, Sanger, CA 93657-2128 | 2007-01-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568871853 | Bernardo Bretado | Counselor | 2017 Mary Street, Sanger, CA 93657 | 2014-08-12 |
1902238033 | Robin Christine Ploharz | Counselor | 1822 Jensen Ave #102-104, Sanger, CA 93657 | 2013-07-31 |
1629419833 | Elim Place, Inc. | Assisted Living Facility | 1808 5th Street, Sanger, CA 93657 | 2013-07-16 |
1568716793 | Paul Sylvan Cheney | Dentist | 620 S. Fairbanks Ave., Sanger, CA 93657 | 2012-11-09 |
1336409820 | Jocelyn Ann Mizunaka | Family Medicine | 1570 7th Street, Sanger, CA 93657 | 2012-05-18 |
1912216581 | Sampath Wijesinghe | Physician Assistant | 1393 Academy Ave, Sanger, CA 93657 | 2010-09-30 |
1528144185 | Daniel Richard Souza | Physical Therapist | 2570 Jensen A Ve #108, Sanger, CA 93657 | 2006-10-27 |
1023102654 | Herbert Lance Crooks | Dentist | 2434 Jensen, Sanger, CA 93657 | 2006-10-03 |
1689633174 | Donald T Negri Od Inc | Optometrist | 1329 8th St, Sanger, CA 93657 | 2006-03-22 |
1265400410 | Gurinder Pal Singh Narain | Internal Medicine | 800 N Street, Sanger, CA 93657 | 2006-03-14 |
Find all providers in zip 93657 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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1043848872 | Nelson Md and Lochhead Md, A Professional Medical Corporation | Psychiatry & Neurology | 28202 Cabot Rd Ste 635, Laguna Niguel, CA 92677-1222 | 2020-03-28 |
1003455460 | Ranvinder Kaur Rai Md | Psychiatry & Neurology | 39676 Mission Blvd, Fremont, CA 94539-3000 | 2020-01-03 |
1043856073 | Ocean View Neuropsychiatry | Psychiatry & Neurology | 31862 Coast Highway Unit 302, Laguna Beach, CA 92651 | 2019-11-25 |
1275190068 | Allan S Abrams Md Inc | Psychiatry & Neurology | 4726 Winnetka Ave, Woodland Hills, CA 91364-4737 | 2019-05-28 |
1225527427 | Better Life Therapy, Inc. | Psychiatry & Neurology | 9520 Escondido Canyon Rd, Santa Clarita, CA 91390-4811 | 2018-05-03 |
1821515099 | J. Kirk Hartman, M.d. | Psychiatry & Neurology | 3860 Blackhawk Rd # 120, Danville, CA 94506-4905 | 2017-08-28 |
1912432055 | Centered Health LLC | Psychiatry & Neurology | 6422 W 6th St, Los Angeles, CA 90048-4714 | 2017-04-26 |
1255871182 | Carol R Harrus | Psychiatry & Neurology | 517 Patricia Ln, Palo Alto, CA 94303-2856 | 2017-02-25 |
1437539509 | Ehab Yacoub, Md Inc. | Psychiatry & Neurology | 1225 W 190th St Ste 470, Gardena, CA 90248-4316 | 2015-06-04 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.