Tracy Ann Dotterman, MS, ED, LPA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

5856 Issued in NC

Practice address

501 Keisler Dr Ste 104
Cary, NC 27518-9322

Phone

(919) 646-2627

NPI assigned

Aug 7, 2023

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Locations

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

• Broadview Psychological Services PLLC

  • Psychologist
  • Cary, NC
  • NPI 1205630662
  NPD Authorized official

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1295417301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 KEISLER DR STE 104",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275189322",
            "telephone_number": "919-646-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 KEISLER DR STE 104",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275189322",
            "telephone_number": "919-646-2627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTTERMAN",
        "first_name": "TRACY",
        "middle_name": "ANN",
        "credential": "MS, ED, LPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "5856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Demetrian Ivan Dornic, M.D.
• Staci Dorr, CO
• Martha E Dorroh, N.P.
• Usha Doshi, MD
• Erica Dossa, MSW, LCSWA
• Camia Douglas
• Delva Douglas, L.C.S.W.
• Mary Douglas
• Deborah Meredith Douglass, PT
• Madeleine Rose Douthit, DC

• Psychologist in Cary, NC
• Providers in Cary, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.