Individual provider Active NPI

Tracy L Deveau, PSYD

  • Clinical Psychologist
  • Norwell, MA
National Provider Identifier
1205254562
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
10491 Issued in MA
Practice address
133 Washington St Unit 1
Norwell, MA 02061-1755
Phone
(508) 318-8601
NPI assigned
Apr 3, 2014
Last updated
Jun 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3763 AZ
Clinical Psychologist 103TC0700X 10491 MA Primary

Addresses

Primary practice location

133 Washington St Unit 1
Norwell, MA 02061-1755

Mailing address

133 Washington St Unit 1
Norwell, MA 02061-1755
Phone (508) 318-8601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240322002104 MA Practitioner - Clinical Psychologist 4880624287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3763AZMDClinical Psychologist
10491MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tracy Deveau, PSYD, PLLC CurrentSince Jun 23, 2025 Accepting new patients
The Counseling Source, Inc. Past Accepting new patients

Locations

80 Washington St
Ste O54
Norwell, MA 02061
Phone (401) 829-8491

Organizations & group practices 2

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": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1205254562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 WASHINGTON ST UNIT 1",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611755",
            "telephone_number": "508-318-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 WASHINGTON ST UNIT 1",
            "city": "NORWELL",
            "state": "MA",
            "postal_code": "020611755",
            "telephone_number": "508-318-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVEAU",
        "first_name": "TRACY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-03",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3763",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwell, MA

Sources for this page

Verify at the official NPI Registry.