Tracy McKee Agostin, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1727 Issued in TN

Practice address

8820 Trinity Rd Ste 202
Cordova, TN 38018-2735

Phone

(901) 756-8398

NPI assigned

Jun 27, 2006

Last updated

Jan 15, 2025By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Barbara T. Henking, PH.D. Inc

  • Psychologist
  • Cordova, TN
  • NPI 1942540760
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1386671352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 TRINITY RD STE 202",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380182735",
            "telephone_number": "901-756-8398",
            "fax_number": "901-756-8701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 TRINITY RD STE 202",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380182735",
            "telephone_number": "901-756-8398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8134 Country Village Dr",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380162029",
            "country_code": "US",
            "telephone_number": "901-756-8398",
            "fax_number": "901-756-8701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGOSTIN",
        "first_name": "TRACY",
        "middle_name": "MCKEE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "1727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14C182000",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aegis Group Practice LLC
• Affinity Care Group, LLC
• Ageless Mens Health,LLC
• Agilitas USA, Inc
• Agilitas USA, Inc (Results Physiotherapy)
• Susan Mack Aguillard, MD
• Olayinka Olaniyi Akinwumiju, MD
• Ahmad Abdul Ghaffar a Al-Fakhouri, MD
• Nadia Olivia Albert, BCBA
• Dvanishia Alford

• Psychologist in Cordova, TN
• Providers in Cordova, TN by specialty
• Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.