TRACY MINGLI ONG


Address: 445 Bellevue Ave Ste 201b, Oakland, CA 94610-4923
Phone: 8663811668

TRACY MINGLI ONG (NPI# 1629200712) 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) 1629200712
Entity Type Individual
Full Name TRACY MINGLI ONG
Credential PH.D., BCBA-D
Practice Address 445 Bellevue Ave Ste 201b
Oakland
CA 94610-4923
Mailing Address 1781 Helane Ct
Benicia
CA 94510-2659
Practice Telephone 8663811668
Practice Fax Number 8663811668
Mailing Telephone 8663811668
Mailing Fax Number 8663811668
Enumeration Date 2009-08-22
Last Update Date 2016-08-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TB0200X Psychologist
Specialization: Cognitive & Behavioral
Behavioral Health & Social Service Providers
N 103TC1900X Psychologist
Specialization: Counseling
PSY24777 CA Behavioral Health & Social Service Providers
Y 103TM1800X Psychologist
Specialization: Mental Retardation & Developmental Disabilities
Behavioral Health & Social Service Providers
N 103K00000X Behavioral Analyst Behavioral Health & Social Service Providers

Office Location

Street Address 445 BELLEVUE AVE STE 201B
City OAKLAND
State CA
Zip Code 94610-4923

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Taxonomy Information

Taxonomy Code 103TM1800X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Mental Retardation & Developmental Disabilities

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770802696 Michael D Peters Psychologist 5814 La Salle Ave, Oakland, CA 94611-3210 2010-05-18
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Competitor

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City OAKLAND
Zip Code 94610

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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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