Tracy Mayne, LSP

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

LSP.00324 Issued in OH

Practice address

430 E Pease Ave
West Carrollton, OH 45449-1300

Phone

(937) 859-5121

NPI assigned

Oct 5, 2026

Last updated

Oct 5, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1154225126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2569 BEXLEY HILL PL",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453859047",
            "telephone_number": "937-859-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 E PEASE AVE",
            "city": "WEST CARROLLTON",
            "state": "OH",
            "postal_code": "454491300",
            "telephone_number": "937-859-5121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "629 E Central Ln",
            "address_purpose": "LOCATION",
            "city": "West Carrollton",
            "state": "OH",
            "postal_code": "454491847",
            "country_code": "US",
            "telephone_number": "937-859-5121 x3361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYNE",
        "first_name": "TRACY",
        "name_prefix": "Mrs.",
        "credential": "LSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "LSP.00324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• School Psychologist in West Carrollton, OH
• Providers in West Carrollton, OH by specialty
• School Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.