DR. TRACY MCKEE AGOSTIN


Address: 8820 Trinity Rd Ste 202, Cordova, TN 38018-2735
Phone: 9017568398

DR. TRACY MCKEE AGOSTIN (NPI# 1386671352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386671352
Entity Type Individual
Full Name DR. TRACY MCKEE AGOSTIN
Credential PH.D.
Practice Address 8820 Trinity Rd Ste 202
Cordova
TN 38018-2735
Mailing Address Po Box 382391
Germantown
TN 38183-2391
Practice Telephone 9017568398
Mailing Telephone 9017568398
Mailing Fax Number 9017568701
Enumeration Date 2006-06-27
Last Update Date 2019-06-27
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 1727 TN Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN 14C182000 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
8134 Country Village Dr, Suite 102, Cordova, TN 380162029 9017568398 9017568701

Office Location

Street Address 8820 TRINITY RD STE 202
City CORDOVA
State TN
Zip Code 38018-2735

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407336381 Jessica Ann Gaines Osborn Counselor 8820 Trinity Rd Ste 202, Cordova, TN 38018-2735 2018-08-20
1942540760 Barbara T. Henking, Ph.d. Inc Psychologist 8820 Trinity Rd Ste 202, Cordova, TN 38018-2735 2013-02-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588264428 Shaquia Janai Harris Behavior Technician 1079 N Houston Levee Road, Cordova, TN 38018 2020-10-29
1366041493 Cynthia Brantley Behavior Technician 1079 N Houston Levee Rd, Cordova, TN 38018 2020-10-20
1558901736 At Home Physical Rehabilitation Group, LLC Physical Therapy Assistant 856 Willow Tree Circle, Cordova, TN 38018 2020-01-15
1538703038 Scott Eric Balogh Psychiatry & Neurology 65 Germantown Court, Suite 203, Cordova, TN 38018 2019-10-29
1851871305 Joanna H Fussell Behavioral Analyst 8066 Walnut Run Suite 102, Cordova, TN 38018 2018-08-15
1841736097 A Guardian Care Group Home Health 10164 Green Moss, Cordova, TN 38018 2017-01-12
1497127146 Functional Independence, Inc. Home Health 270 German Oak Dr., Memphis, TN 38018 2015-10-21
1679984363 Tiffany Masters Redfern Obstetrics & Gynecology 521 Riveredge Dr W, Cordova, TN 38018 2014-05-15
1295073427 Mitchell Wyman Alvarez Optometrist 2075 N. Germantown Pkwy, Memphis, TN 38018 2013-01-23
1578827531 Chiung Feng Hsu Dentist 831 Timber Creek Dr #1, Cordova, TN 38018 2012-06-25
Find all providers in zip 38018

Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295163228 Princess Coleman Psychologist 1539 Fox Trace Dr, Cordova, TN 38016-5706 2013-10-30
1154601862 Mardi Michele Smith Psychologist 543 Javelin Cv, Cordova, TN 38018-7674 2011-08-25
1790927705 Michael W Davidson Psychologist 154 Timber Creek Dr Ste 4, Cordova, TN 38018-4252 2009-04-06
1497956825 Pediatric Adolescent Center Psychologist 882 Willow Tree Cir Ste 201, Cordova, TN 38018-3118 2007-05-31
1114079795 Barbara T Henking Psychologist 8134 Country Village, #102, Cordova, TN 38016 2007-01-17
1710906466 Carolyn C Martin Psychologist 8142 Country Village Dr # 102, Cordova, TN 38016-2029 2006-07-19
1427076991 John Sherwood Leite Psychologist 8134 Country Village Dr, Suite 102, Cordova, TN 38016-2029 2006-07-17
1518983196 Mary H Wanat Psychologist 8134 Country Village Drive, Suite 102, Cordova, TN 38018-2029 2006-07-15
1750808713 Dickens Psychological Services LLC Psychologist 150 Timber Creek Dr Ste 6, Cordova, TN 38018-4236 2017-08-29
1043639818 Memphis Integral Neurofeedback Institute LLC Psychologist 758 Walnut Knoll Ln, Suite 101, Cordova, TN 38018-3112 2014-04-09
Find all providers in CORDOVA

Competitor

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City CORDOVA
Zip Code 38018

Improve Information

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Dataset Information

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.

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