TRACEY ROCHA PHELON (NPI# 1538583745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538583745 |
| Entity Type | Individual |
| Full Name | TRACEY ROCHA PHELON |
| Other Name | TRACEY L ROCHA |
| Credential | PH.D. |
| Practice Address |
1078 Main St Leicester MA 01524-1396 |
| Practice Telephone | 5084701505 |
| Mailing Telephone | 0847015055 |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2020-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 9803 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BEACON | 1538583745 | 01 |
| MA | BCBS MA | 1538583745 | 01 |
| MA | UNITED BEHAVIORAL HEALTH | 1538583745 | 01 |
| MA | NETWORK HEALTH/TUFTS PLAN | 91215302 | 01 |
| MA | CIGNA | 5621509 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 128 Main St Ste 3, Sturbridge, MA 01566 | 5084186888 | 5084186886 |
| Street Address |
1078 MAIN ST |
| City | LEICESTER |
| State | MA |
| Zip Code | 01524-1396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679692495 | Leicester Public Schools | Local Education Agency (LEA) | 1078 Main St, Leicester, MA 01524-1396 | 2007-03-29 |
| 1154938546 | The Monarch Clinic, LLC | Speech-Language Pathologist | 1078 Main St, Leicester, MA 01524-1396 | 2020-09-29 |
| 1528671740 | Constellations Psychological Services LLC | Clinic/Center | 1078 Main St, Leicester, MA 01524-1396 | 2020-08-27 |
| 1477953289 | Jeanne Elizabeth Chaclas | Speech-Language Pathologist | 1078 Main St, Leicester, MA 01524-1396 | 2014-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225277098 | Amy L Heath | Pharmacist | 20 Soojians Dr, Leicester, MA 01524 | 2009-02-18 |
| 1457355877 | Town of Leicester | Ambulance | Town Hall, 3 Washburn Square, Leicester, MA 01524 | 2005-06-13 |
| 1679763627 | Catherine Marie Correia | Specialist | 964 Main St, Leicester, MA 01524 | 2007-07-26 |
| 1265569016 | John J Millette | Dentist | 119 S Main Street, Leicester, MA 01524 | 2007-02-28 |
| 1639649619 | James Joseph Phelan | Social Worker | 77 Mulberry St, Leicester, MA 01524-1011 | 2018-12-03 |
| 1992368153 | Mcauley Nazareth Home for Boys, Inc. | Counselor | 77 Mulberry St, Leicester, MA 01524-1011 | 2019-04-15 |
| 1740410992 | Skilled Homecare Services | Home Infusion | 391 Pleasant St, Leicester, MA 01524-1221 | 2009-07-22 |
| 1740769058 | Melissa Marie Fish | Counselor | 803 Main St, Leicester, MA 01524-1305 | 2018-08-08 |
| 1871033944 | Justin Mertz | Counselor | 803 Main St, Leicester, MA 01524-1305 | 2017-03-08 |
| 1427505635 | Jessica Tyler Martin | Counselor | 803 Main St, Leicester, MA 01524-1305 | 2016-09-06 |
| Find all providers in zip 01524 | ||||
| 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 |
|---|---|---|---|---|
| 1578162798 | Psychological Transformation | Psychologist | 348 Cambridge Rd # 115, Woburn, MA 01801-6037 | 2020-10-19 |
| 1841897345 | Sade Callwood | Psychologist | 185 Devonshire St Ste 800, Boston, MA 02110-1414 | 2020-10-07 |
| 1982210480 | Aaron Rezendes Psyd LLC | Psychologist | 38 Dow St, Framingham, MA 01702-7220 | 2020-09-20 |
| 1184239808 | Morgan Eleanor Smigielski | Psychologist | 65 Park Dr Apt 18, Boston, MA 02215-5238 | 2020-09-10 |
| 1821601568 | Dr. Chelsea Levy Licensed Psychologist LLC | Psychologist | 203 Spring St, Medford, MA 02155-2814 | 2020-08-24 |
| 1679183230 | Holly Muller | Psychologist | 225 Friend St, Boston, MA 02114-1800 | 2020-08-07 |
| 1285242123 | Ruth Brim Balser | Psychologist | 36 Audubon Dr, Chestnut Hill, MA 02467-2621 | 2020-07-16 |
| 1952929184 | Sarah Joanna Schoffstall | Psychologist | 32 Hastings St, Framingham, MA 01701-7954 | 2020-07-14 |
| 1225655871 | Sasha Fleary | Psychologist | 28 Walter St, Hyde Park, MA 02136-2973 | 2020-06-30 |
| 1760008635 | Katherine Renda Florek | Psychologist | 2 Collins Rd, Hingham, MA 02043-2017 | 2020-06-17 |
| 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.