Tara Lacy Ingram (NPI# 1821490061, PAC ID# 8921307000) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1821490061 |
| PAC ID by PECOS | 8921307000 |
| Professional Enrollment ID | I20160422002010 |
| Full Name | Tara Lacy Ingram |
| Address |
2200 L St Sacramento CA 95816-4927 |
| Phone Number | 9168900279 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2200 L St, Sacramento, CA 95816-4927 | 9168900279 | |
| 103 S Forest Rd, Sonora, CA 95370-4895 | 2095327005 | WOODS CREEK PSYCHOLOGICAL GROUP, APC |
| Street Address |
2200 L ST |
| City | SACRAMENTO |
| State | CA |
| Zip | 95816-4927 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas H King | Dermatology | Regents of The Univ of Ca | 2221 Stockton Blvd, Sacramento, CA 95816 |
| Cassy Friedrich | Family Medicine | Planned Parenthood Mar Monte, Inc | 201 29th St, Sacramento, CA 95816-3271 |
| Stephanie Le | Dermatology | Regents of The Univ of Ca | 3301 C St, Sacramento, CA 95816-3300 |
| Chung-yin S Chan | Dermatology | Regents of The Univ of Ca | 3301 C St, Sacramento, CA 95816-3300 |
| Danielle M Tartar | Dermatology | Regents of The Univ of Ca | 3301 C St, Sacramento, CA 95816-3300 |
| Victor Huang | Dermatology | Regents of The Univ of Ca | 3301 C St, Sacramento, CA 95816-3300 |
| Stacey A Rotta | Undefined Physician Type (specify) | Regents of The Univ of Ca | 3301 C St, Sacramento, CA 95816-3300 |
| Marc Silverstein | Dermatology | Regents of The Univ of Ca | 3301 C St, Sacramento, CA 95816-3300 |
| Oma N Agbai | Dermatology | Regents of The Univ of Ca | 3301 C St, Sacramento, CA 95816-3300 |
| Maxwell Fung | Dermatology | Regents of The Univ of Ca | 3301 C St, Sacramento, CA 95816-3300 |
| Find all physicians in zip 95816 | |||
| City | SACRAMENTO |
| Zip Code | 95816 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | SACRAMENTO + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Tara Lacy Ingram.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.