Tracy John Price, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1933 Issued in CO

Practice address

9250 W 5TH Ave
302
Lakewood, CO 80226-1098

Phone

(303) 202-6143

Fax

(720) 294-0405

NPI assigned

Jan 29, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. T J Price Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Mindful Health Advantage, LLC

  • Clinical Psychologist
  • Lakewood, CO
  • NPI 1619268729
  Authorized official Same address or phone

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124164827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 W. 5TH AVE.",
            "address_2": "302",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802267400",
            "telephone_number": "303-202-6143",
            "fax_number": "720-294-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 W 5TH AVE",
            "address_2": "302",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802261098",
            "telephone_number": "303-202-6143",
            "fax_number": "720-294-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "TRACY",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "1933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST LICENSE",
            "identifier": "1933",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "T",
            "last_name": "PRICE",
            "middle_name": "J",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Prestine Pharmacies Inc (Woodridge Pharmacy)
• Preston Aronson DC LLC
• Danielle Johns Preston
• Lynnae Prevo, PA-C
• Jason Prezant, LPCC
• Wesley Prichard, D.O.
• Primary Care NPS Inc
• Pidchaya Prindavong, PHARM D
• Gabrielle Michelle Pringle, BCBA
• Rachel Elizabeth Printy, PA-C

• Clinical Psychologist in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.