DR. TRACY LORRAINE LARSON (NPI# 1689630675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689630675 |
| Entity Type | Individual |
| Full Name | DR. TRACY LORRAINE LARSON |
| Credential | PSY.D. |
| Practice Address |
211 West Ave Newark NY 14513-1336 |
| Practice Telephone | 3153316030 |
| Practice Fax Number | 3153319119 |
| Mailing Telephone | 3153316030 |
| Mailing Fax Number | 3153319119 |
| Enumeration Date | 2006-04-26 |
| 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 | 014099 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578861498 | Tracy Charisse Larson | Counselor | 15655 County Rd B, Hayward, WI 54843-3251 | 2011-03-01 |
| 1285637207 | Tracy M Larson | Obstetrics & Gynecology | 6401 Morrison Blvd # 2a, Charlotte, NC 28211-3800 | 2005-05-23 |
| 1063032316 | Tracy Larson | Nurse Practitioner | 415 Barnwell Ave Nw, Aiken, SC 29801-3937 | 2020-04-16 |
| 1033551569 | Tracy L Larson | Nurse Practitioner | 314 Ohmer St, Bottineau, ND 58318-1059 | 2013-07-25 |
| 1972804052 | Tracy Larson | Counselor | 4100 Veterans Pkwy, Mchenry, IL 60050-8350 | 2010-11-05 |
| 1285880260 | Tracy Ann Larson | Student in an Organized Health Care Education/Training Program | 3601 Pacific Ave, Stockton, CA 95211-0110 | 2008-08-11 |
| 1447203278 | Tracy Larson | Social Worker | 1919 N Amidon Ave, Ste. 100, Wichita, KS 67203-2117 | 2006-05-19 |
| Street Address |
211 WEST AVE |
| City | NEWARK |
| State | NY |
| Zip Code | 14513-1336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215648 | Susan Marie Oberdorf | Speech-Language Pathologist | 133 Elmwood, Newark, NY 14513 | 2020-05-04 |
| 1871077404 | Aisha E Wagner | Nurse Practitioner | 1304 Driving Park Avenue, Newark, NY 14513 | 2018-09-19 |
| 1689192817 | Melanie Swarthout | Case Manager/Care Coordinator | 150 Van Buren St., Newark, NY 14513 | 2017-09-08 |
| 1942650882 | Donna Joy Collins I | Speech-Language Pathologist | 848 Pierson Avenue, Newark, NY 14513 | 2016-06-21 |
| 1972952661 | Cj-mak Transportation, Inc. | Non-emergency Medical Transport (VAN) | 227 State Farm Road, Newark, NY 14513 | 2016-06-03 |
| 1306214473 | Stephanie Belli | Licensed Practical Nurse | 5904 Austin Road, Newark, NY 14513 | 2015-09-08 |
| 1992186712 | Nicole Harris | Nursing Facility/Intermediate Care Facility | 132 Willow Avenue, Newark, NY 14513 | 2015-06-17 |
| 1861802373 | Jeffrey Spencer | Urology | 1202 Driving Park Ave Ste 5, Newark, NY 14513 | 2014-05-06 |
| 1609126648 | Natasha Triplett | Student in an Organized Health Care Education/Training Program | 439 W. Maple Ave, Perkins Elementary, Newark, NY 14513 | 2012-09-18 |
| 1922377902 | Lisa E. Williams | Licensed Practical Nurse | 701 Peirson Ave., Newark, NY 14513 | 2011-12-21 |
| Find all providers in zip 14513 | ||||
| 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 |
|---|---|---|---|---|
| 1124641782 | Barbara Belford, Phd, Inc | Psychologist | 314 E Main St Ste 104, Newark, DE 19711-7180 | 2020-05-18 |
| 1932754595 | Psychological Services P.a. | Psychologist | 850 Library Ave Ste 104, Newark, DE 19711-7170 | 2019-08-09 |
| 1619486750 | Ruth Robinson-nelson | Psychologist | 300 Creek View Rd Ste 101, Newark, DE 19711-8547 | 2017-09-20 |
| 1558722926 | Psychological Consulting Services | Psychologist | 182 Van Buren St, Newark, NJ 07105-2638 | 2016-03-14 |
| 1821423492 | Kathleen J. Cherry | Psychologist | 218 Cullen Way, Newark, DE 19711-6112 | 2013-09-13 |
| 1609127638 | Robin O. Belcher-timme | Psychologist | F-52 Omega Drive, Newark, DE 19713 | 2012-10-01 |
| 1184932535 | Annie Thanh-yen Du | Psychologist | 3900 Newpark Mall Rd, Ste 300, Newark, CA 94560 | 2010-09-20 |
| 1508038035 | Jeffrie J Silverberg | Psychologist | 303 Shisler Ct, Newark, DE 19702-1341 | 2008-03-25 |
| 1851594394 | Susan Kathleen Lynch | Psychologist | 15 Chestnut Hill Road, 19, Newark, DE 19713 | 2007-06-11 |
| 1306069414 | Tell Psychological Services, LLC | Psychologist | 1794 Sutton Pl, Newark, OH 43055-9093 | 2007-04-10 |
| Find all providers in NEWARK | ||||
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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.