DR. TRACY DWIGHT EELLS (NPI# 1942272174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942272174 |
| Entity Type | Individual |
| Full Name | DR. TRACY DWIGHT EELLS |
| Credential | PH.D. |
| Practice Address |
401 E Chestnut St Unit 610 Louisville KY 40202-5711 |
| Mailing Address |
401 E Chestnut St Unit 600 Louisville KY 40202-5705 |
| Practice Telephone | 5025884450 |
| Practice Fax Number | 5025889539 |
| Mailing Telephone | 5025884425 |
| Mailing Fax Number | 5025884427 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2019-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | KY00839 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | TRICARE | 402278 | 01 |
| Street Address |
401 E CHESTNUT ST UNIT 610 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-5711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164075909 | Stuart Cripe Jr. | Social Worker | 401 E Chestnut St Unit 610, Louisville, KY 40202 | 2019-07-22 |
| 1003476466 | Shaquilla N Cooper | Social Worker | 401 E Chestnut St Unit 610, Louisville, KY 40202-5711 | 2019-06-18 |
| 1225598220 | Gregory Emerson Wykoff | Student in an Organized Health Care Education/Training Program | 401 E Chestnut St Unit 610, Louisville, KY 40202-5711 | 2019-03-25 |
| 1902367873 | Rachel Getzenberg | Student in an Organized Health Care Education/Training Program | 401 E Chestnut St Unit 610, Louisville, KY 40202-5711 | 2019-03-25 |
| 1326508474 | Alexis Lynn Glomski | Student in an Organized Health Care Education/Training Program | 401 E Chestnut St Unit 610, Louisville, KY 40202-5711 | 2019-03-24 |
| 1750841987 | Arthur Oliva | Student in an Organized Health Care Education/Training Program | 401 E Chestnut St Unit 610, Louisville, KY 40202-5711 | 2019-03-22 |
| 1740785070 | Saba Afshar | Psychiatry & Neurology | 401 E Chestnut St Unit 610, Louisville, KY 40202-5711 | 2018-03-28 |
| 1760910798 | Audrey Pulitzer | Student in an Organized Health Care Education/Training Program | 401 E Chestnut St Unit 610, Louisville, KY 40202-5711 | 2017-06-04 |
| 1346776978 | Drew Cameron | Student in an Organized Health Care Education/Training Program | 401 E Chestnut St Unit 610, Louisville, KY 40202-5711 | 2017-05-02 |
| 1710412747 | Stephen Love | Psychiatry & Neurology | 401 E Chestnut St Unit 610, Louisville, KY 40202-5711 | 2017-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| 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 |
|---|---|---|---|---|
| 1104446921 | Marina Sud | Psychologist | 1834 Gresham Rd, Louisville, KY 40205-2424 | 2020-04-22 |
| 1881227023 | Perspectives Psychological Services Pllc | Psychologist | 2802 Woodward Dr, Louisville, KY 40220-1265 | 2020-02-17 |
| 1104476126 | Zachary Clayborne Dietrich | Psychologist | 100 Executive Park Ste 103, Louisville, KY 40207-4201 | 2019-09-12 |
| 1174177901 | Hopebridge LLC | Psychologist | 215 S Hurstbourne Pkwy Ste 213, Louisville, KY 40222-4937 | 2019-07-30 |
| 1740742923 | Jean Leonard | Psychologist | 864 W South Boulder Rd Unit 201, Louisville, CO 80027-2598 | 2019-04-04 |
| 1952876146 | Ashley Lynne Johnson Belcher | Psychologist | 9700 Park Plaza Avenue, Ste. 106, Louisville, KY 40241 | 2018-10-04 |
| 1265914345 | Shelby Burton | Psychologist | 411 E Chestnut St # St2, Louisville, KY 40202-1713 | 2018-09-05 |
| 1285121004 | Mark L Dean | Psychologist | 1100 Glenlake Way, Louisville, KY 40245-5222 | 2018-04-17 |
| 1366948671 | Sagan Lee Ladd | Psychologist | 5602 Oxford Ct Apt 712, Louisville, KY 40291-2109 | 2018-04-04 |
| 1245731249 | Joseph L Bargione | Psychologist | 4504 Dakin Ct, Louisville, KY 40299-6226 | 2018-02-24 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
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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.