Individual provider Active NPI

Tracy Merino, PSYD

  • Psychologist
  • McKinney, TX
National Provider Identifier
1093248874
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
37222 Issued in TX
Practice address
6675 Mediterranean Dr Ste 405
McKinney, TX 75072-5623
Phone
(972) 895-2609
Fax
(469) 301-1308
NPI assigned
Apr 7, 2017
Last updated
Feb 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 37222 TX Primary

Addresses

Primary practice location

6675 Mediterranean Dr Ste 405
McKinney, TX 75072-5623

Mailing address

6675 Mediterranean Dr Ste 405
McKinney, TX 75072-5623
Phone (972) 895-2609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37222TXMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Merino Psychological Services, PLLC Psychologist Current Accepting new patients

Locations

6675 Mediterranean Dr
Ste 405
McKinney, TX 75072
Phone (469) 222-5434

8951 Collin McKinney Pkwy
Ste 904
McKinney, TX 75070
Phone (469) 323-0469

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1093248874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 MEDITERRANEAN DR STE 405",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750725623",
            "telephone_number": "972-895-2609",
            "fax_number": "469-301-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6675 MEDITERRANEAN DR STE 405",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750725623",
            "telephone_number": "972-895-2609",
            "fax_number": "469-301-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERINO",
        "first_name": "TRACY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "37222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.