TRACEY LEONE SMITH (NPI# 1023084282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023084282 |
| Entity Type | Individual |
| Full Name | TRACEY LEONE SMITH |
| Credential | PHD |
| Practice Address |
6001 Research Park Blvd Madison WI 53719 |
| Mailing Address |
8007 Excelsior Drive Madison WI 53717 |
| Practice Telephone | 6082636100 |
| Practice Fax Number | 6088336932 |
| Mailing Telephone | 6088295238 |
| Mailing Fax Number | 6088336932 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 2548 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39142900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952948572 | Tracey Smith | Technician | 234 Jefferson St Nw, Washington, DC 20011-6630 | 2019-12-02 |
| 1417512039 | Tracey Denise Smith | Nurse Practitioner | 12453 Charlotte St, Kansas City, MO 64146-1310 | 2019-05-08 |
| 1144711938 | Tracey Simone Smith | Registered Nurse | 228 Logan St Fl 1a, Brooklyn, NY 11208-1965 | 2018-05-29 |
| 1851759914 | Tracey Lyn Smith | Driver | 1212 Faussett Rd, Howell, MI 48855-7205 | 2016-02-04 |
| 1790107357 | Tracey Lee Smith | Physician Assistant | 1970-c West Arlington Blvd, Greenville, NC 27837-5783 | 2014-01-15 |
| 1386989226 | Tracey A Smith | Licensed Practical Nurse | 1210 15th St Ne, Canton, OH 44705-1208 | 2012-12-04 |
| 1356470751 | Tracey Lynn Smith | Physical Therapist | 167 Smith Rd, Lake Ronkonkoma, NY 11779-2213 | 2007-03-04 |
| 1295385706 | Tracey Ann Smith | Speech-Language Pathologist | 6101 N State Line Ave, Texarkana, TX 75503-5309 | 2019-09-17 |
| 1427513324 | Tracey Smith | Physician Assistant | 1107 Eaton Ave, Bethlehem, PA 18018-1862 | 2019-02-05 |
| 1720582174 | Tracey Jean Smith | Technician, Pathology | 710 N Main St, Clinton, TN 37716-3143 | 2018-03-21 |
| Street Address |
6001 RESEARCH PARK BLVD |
| City | MADISON |
| State | WI |
| Zip Code | 53719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497747067 | Timmons H Hamrick IIi | Psychiatry & Neurology | 6001 Research Park Blvd, Madison, WI 53719-1176 | 2005-08-18 |
| 1518427277 | Aisha I Rosh | Psychologist | 6001 Research Park Blvd, Madison, WI 53719-1176 | 2019-03-20 |
| 1144705567 | Elizabeth Gail Weitz | Nurse Practitioner | 6001 Research Park Blvd, Madison, WI 53719-1176 | 2018-10-02 |
| 1538644018 | Melissa Heinemann | Psychologist | 6001 Research Park Blvd, Madison, WI 53719-1176 | 2018-10-01 |
| 1083192074 | Jessica Anne Umhoefer | Psychologist | 6001 Research Park Blvd, Madison, WI 53719-1176 | 2018-08-01 |
| 1003338864 | Sharon K. Finlayson | Nurse Practitioner | 6001 Research Park Blvd, Madison, WI 53719-1176 | 2017-07-13 |
| 1467903849 | Brianne Mw Vandyke | Physical Therapist | 6001 Research Park Blvd, Madison, WI 53719-1176 | 2016-10-20 |
| 1205383049 | Katherine Elizabeth Schaumberg | Psychologist | 6001 Research Park Blvd, Madison, WI 53719-1176 | 2016-09-09 |
| 1164876777 | Jacob Ferris | Psychiatry & Neurology | 6001 Research Park Blvd, Madison, WI 53719-1176 | 2016-04-20 |
| 1023496783 | Allison Marie Detloff | Psychologist | 6001 Research Park Blvd, Madison, WI 53719-1176 | 2015-05-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271801 | Jessica Seidel | Registered Nurse | 1015 Gammon Lane, Madison, WI 53719 | 2020-10-01 |
| 1376168989 | 360 Wellness LLC | Physical Therapist | 504 S Yellowstone Lane, Madison, WI 53719 | 2020-06-09 |
| 1932744067 | Sara Ruiz | Marriage & Family Therapist | Clock Tower Office Park, 6333 Odana Rd, #20, Madison, WI 53719 | 2019-11-13 |
| 1700436466 | David R. Gosling | Counselor | 702 South High Point Road #209, Madison, WI 53719 | 2019-09-16 |
| 1285289587 | Clifton Leo Davis Jr. | Counselor | 6417 O Dana Rd #5, Madison, WI 53719 | 2019-08-05 |
| 1679127278 | Akillah Jamillah Wali | Psychologist | 6417 Odana Rd Suite 5, Madison, WI 53719 | 2019-07-31 |
| 1689230211 | Brandy Georgecopeland | Marriage & Family Therapist | 6417 Odana Rd. Ste 5, Madison, WI 53719 | 2019-05-20 |
| 1275016826 | Kelsey Andersen | Physical Therapist | 504 S. Yellowstone Lane, Madison, WI 53719 | 2018-09-10 |
| 1740797190 | Catelyn Schwerke | Social Worker | 3848 Maple Grove Dr, Apt 307, Madison, WI 53719 | 2018-01-08 |
| 1922519008 | Mary Jane Cruz Delorme | Registered Nurse | 6831 Mader Dr. #210, #210, Madison, WI 53719 | 2017-10-17 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073138327 | Rachel Kahn | Psychologist | 501 Acacia Ln, Madison, WI 53716-3238 | 2020-06-12 |
| 1700363652 | Capital City Psychology, LLC | Psychologist | 313 Price Pl Ste 210, Madison, WI 53705-3262 | 2018-07-24 |
| 1093222010 | Leya Moore | Psychologist | 1415 Rutledge St, Madison, WI 53703-3834 | 2017-12-29 |
| 1306359591 | Elizabeth Gaebler | Psychologist | 700 Ray O Vac Dr Ste 114, Madison, WI 53711-2468 | 2017-11-09 |
| 1619489135 | Streicher-bremer Psychotherapy Sc | Psychologist | 1619 Monroe St Ste 2, Madison, WI 53711-2063 | 2017-10-25 |
| 1356736565 | Madison Behavioral Psychology, LLC | Psychologist | 7818 Big Sky Dr Ste 210, Madison, WI 53719-3524 | 2015-04-03 |
| 1457756595 | Familypath Autism Services, LLC | Psychologist | 575 Donofrio Dr Ste 101, Madison, WI 53719-2832 | 2014-10-31 |
| 1104184142 | Hurd Counseling and Educational Psychology | Psychologist | 700 Rayovac Drive, Madison, WI 53711 | 2012-04-27 |
| 1679865992 | Sharon Kelley | Psychologist | 1213 N. Sherman Ave, Suite 334, Madison, WI 53704 | 2011-05-04 |
| 1225342280 | Daniel P. Davis | Psychologist | 7601 Ganser Way, 2nd Floor Suite, Madison, WI 53719-2074 | 2010-08-02 |
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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.