DR. TRACEY BURRELL (NPI# 1811079809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811079809 |
| Entity Type | Individual |
| Full Name | DR. TRACEY BURRELL |
| Credential | PH.D. |
| Practice Address |
346 North Kanan Road 202 Oak Park CA 91377 |
| Practice Telephone | 8057952673 |
| Practice Fax Number | 8059919487 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2011-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY16091 | CA | Behavioral Health & Social Service Providers |
| Street Address |
346 NORTH KANAN ROAD 202 |
| City | OAK PARK |
| State | CA |
| Zip Code | 91377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396377321 | Rachel Convey | Speech-Language Pathologist | 362 North Oak Hills Dr, Oak Park, CA 91377 | 2020-02-07 |
| 1992254502 | Brenda Pasqua | Emergency Medical Technician, Basic | 899 Kanan Rd, Oak Park, CA 91377 | 2016-09-23 |
| 1093178303 | Paul Hahn | Marriage & Family Therapist | 6843 Poppyview Drive, Oak Park, CA 91377 | 2016-04-04 |
| 1881848554 | Akeomai Physical Therapy, PC | Clinic/Center | 734 Lindero Canyon Road, Oak Park, CA 91377 | 2008-11-07 |
| 1386865988 | Eyal Ron | Radiology | 325 Southridge Dr, Oak Park, CA 91377 | 2007-05-01 |
| 1033421805 | Karen Tenenblatt | Pediatrics | 358 Kanan Rd, Oak Park, CA 91377 | 2010-07-09 |
| 1992203228 | Nancy Raquel Ludwig | Marriage & Family Therapist | 5867 Briarwood Ln, Oak Park, CA 91377-1063 | 2018-02-01 |
| 1083798805 | Tad Alan Erickson | Dentist | 346 Kanan Rd, Suite 101, Oak Park, CA 91377-1100 | 2006-10-25 |
| 1982851812 | Gary Thomas Hardeman | Speech-Language Pathologist | 346 Kanan Rd, #104, Oak Park, CA 91377-1100 | 2008-08-21 |
| 1801925219 | Amber Christine Ruddock | Psychologist | 346 Kanan Rd, Ste 203, Oak Park, CA 91377-1100 | 2007-03-02 |
| Find all providers in zip 91377 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710511514 | Kirsten T Svejda, Psyd, LLC | Psychologist | 101 N Marion St Ste 202, Oak Park, IL 60301-1023 | 2020-03-02 |
| 1497397228 | Priebe Psychological & Wellness | Psychologist | 101 N Marion St Ste 201, Oak Park, IL 60301-1023 | 2019-10-14 |
| 1487200861 | Lisa Lombard | Psychologist | 332 N Scoville Ave, Oak Park, IL 60302-2263 | 2019-08-12 |
| 1376015396 | Susan Longley | Psychologist | 851 Washington Blvd Apt A2, Oak Park, IL 60302-3851 | 2019-01-02 |
| 1942703632 | Jaclyn Marie Patricia Fleck | Psychologist | 806 North Blvd Apt 202, Oak Park, IL 60301-1383 | 2018-03-09 |
| 1992162721 | Caitlin Wurster | Psychologist | 137 N Oak Park Ave Ste 302, Oak Park, IL 60301-1339 | 2016-01-25 |
| 1548636541 | Kari Terrill | Psychologist | 610 S Maple Ave Ste 5601, Oak Park, IL 60304-1091 | 2015-08-13 |
| 1386903193 | Amanda Kim | Psychologist | 530 Washington Blvd Apt 3e, Oak Park, IL 60302-4063 | 2012-05-14 |
| 1578839585 | Olga Mikhaylovna Slavin-spenny | Psychologist | 25900 Greenfield Rd Ste 502, Oak Park, MI 48237-1890 | 2012-03-25 |
| 1457639619 | James Galezewski and Associates | Psychologist | 1045 S Ridgeland Ave, Oak Park, IL 60304-2123 | 2011-07-21 |
| Find all providers in OAK PARK | ||||
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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.