Tracy H McCarthy, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A102280 Issued in CA

Practice address

1520 E. Covell Blvd Ste B5 #433
Davis, CA 95616-1366

Phone

(916) 581-2205

Fax

(916) 414-8607

NPI assigned

Jul 24, 2007

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 1, 2019 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1245430677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4428",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956174428",
            "telephone_number": "916-851-2205",
            "fax_number": "916-414-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 E. COVELL BLVD STE B5 #433",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956161366",
            "telephone_number": "916-581-2205",
            "fax_number": "916-414-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "TRACY",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A102280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Fox Maxwell, LMFT
• Isha Kaur Mayall, M.S
• Lynn Marie McAlister, D.O.
• Alexandra McCarthy
• Justine B McCarthy, LCSW
• Hadassah Latresse McCormick, R.N.
• Jeffery P. McCormick, MSPT
• Annamaria McCoy, MD
• Stephen A. McCurdy, MD
• Jill McElroy

• Psychiatry Physician in Davis, CA
• Providers in Davis, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.