DR. TRACY L HARTIG (NPI# 1023313954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023313954 |
| Entity Type | Individual |
| Full Name | DR. TRACY L HARTIG |
| Credential | PSY.D. |
| Practice Address |
158 E Summerlin St Bartow FL 33830-4641 |
| Practice Telephone | 8635336471 |
| Mailing Telephone | 8635336471 |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-01-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
PY 6030 | FL | Behavioral Health & Social Service Providers |
| Street Address |
158 E SUMMERLIN ST |
| City | BARTOW |
| State | FL |
| Zip Code | 33830-4641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124667902 | Care 4 All | Family Medicine | 2020 Flamingo Drive, Bartow, FL 33830 | 2019-12-27 |
| 1366911638 | Suhog Project Incorporated | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 260 W Van Fleet Dr Apt 41, Bartow, FL 33830 | 2018-11-16 |
| 1851836357 | Danielle Shoemaker | Pharmacist | 395 East Van Fleet Dr, Bartow, FL 33830 | 2016-12-20 |
| 1942681911 | Beatriz Garciaprieto Carmona | Internal Medicine | 2250 Osprey Blvd Ste 102, Bartow, FL 33830 | 2015-06-15 |
| 1538418843 | A Time for Sharing Global Ministries, Inc | Marriage & Family Therapist | 2389 E.f.griffin Road, 2, Bartow, FL 33830 | 2012-08-31 |
| 1235487000 | Evellar Marissa Mcallister | Nurse Practitioner | 1064 N Broadway Ave, Bartow, FL 33830 | 2012-08-27 |
| 1679821813 | Margaret Annette Nelson | Marriage & Family Therapist | 2389 E.f Griffin Road, Bartow, FL 33830 | 2012-08-20 |
| 1003104381 | Rocky Mountain Holdings LLC | Ambulance | 5581 Airport Blvd, Bartow, FL 33830 | 2011-07-20 |
| 1972733913 | Amy Curry | Surgery | 2000 Osprey Blvd Ste 205, Bartow, FL 33830 | 2009-07-24 |
| 1356532204 | Kids First Pediatrics Pa | Pediatrics | 2000 Osprey Blvd S, 107, Bartow, FL 33830 | 2007-08-06 |
| Find all providers in zip 33830 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724986 | Brian Mangan | Psychologist | 9960 Nw 116th Way Ste 12, Medley, FL 33178-1175 | 2020-06-15 |
| 1730603515 | Ssq Psychiatry LLC | Psychologist | 540 Brickell Key Dr Apt 1426, Miami, FL 33131-3534 | 2017-08-02 |
| 1326588914 | Nejame Psychological Services LLC | Psychologist | 266 Thorne Meadow Pass, Davenport, FL 33897-4716 | 2017-03-01 |
| 1730531781 | Merry Haber | Psychologist | 2333 Brickell Ave, Suite A-1, Miami, FL 33129-2435 | 2016-07-01 |
| 1578904066 | Neeta Sookhoo | Psychologist | 23282 Nancy Ave, Pt Charlotte, FL 33952-1811 | 2013-07-11 |
| 1487915872 | Robert M. Berland | Psychologist | 123 W Bloomingdale Ave # 266, Brandon, FL 33511-7400 | 2012-06-03 |
| 1699073312 | Johanna Woolman-kirby | Psychologist | 10260 Sw 92nd Ter, Miami, FL 33176-1602 | 2011-03-03 |
| 1730369380 | Amy C. Swan | Psychologist | 918 Ne 26th Ave, Fort Lauderdale, FL 33304-3607 | 2007-11-13 |
| 1942491626 | Nadir Baksh | Psychologist | 421 Se Martin Ave, Stuart, FL 34996-2611 | 2007-08-07 |
| 1265655989 | Armando Collado | Psychologist | 2200 Nw 7th Ave, Miami, FL 33127-4202 | 2007-04-11 |
| Find all providers with the same taxonomy | ||||
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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.