Tracy Lee Guerrero-Proctor, PSYD, LMFT

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

2894 Mellor St
Corona, CA 92881-3585

Phone

(949) 525-2498

NPI assigned

Jul 8, 2019

Last updated

Jul 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Tracy Proctor Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1366004582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6659",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926076659",
            "telephone_number": "949-525-2498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2894 MELLOR ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928813585",
            "telephone_number": "949-525-2498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO-PROCTOR",
        "first_name": "TRACY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PSYD, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tracy.proctor@vineaconsulting.com",
            "affiliation": "N",
            "endpointDescription": "Home Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2894 Mellor St",
            "city": "Corona",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928813585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "PROCTOR",
            "prefix": "DR.",
            "credential": "PSYD, LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Samantha Guerrero

• Psychologist in Corona, CA
• Providers in Corona, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2019; 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.