Active NPI
Braelyn Tracy, PHD
- School Psychologist
- Lemont Furnace, PA
National Provider Identifier
1427893999
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- SP-8693543
- Practice address
- 2001 University Dr
Lemont Furnace, PA 15456-1029 - Phone
- (724) 626-4444
- NPI assigned
- Jun 27, 2024
- Last updated
- Jun 27, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PA | ||
| Clinical Child & Adolescent Psychologist | 103TC2200X | PA | ||
| School Psychologist | 103TS0200X | SP-8693543 | PA | Primary |
Addresses
Primary practice location
2001 University Dr
Lemont Furnace, PA 15456-1029
Mailing address
2001 University Dr
Lemont Furnace, PA 15456-1029
Phone (724) 626-4444
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23281 | Other | PA | UPMC |
| 1025726530002 | Medicaid | PA | |
| PABLS | Other | PA | HIGHMARK BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP-8693543 | PA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1427893999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 UNIVERSITY DR",
"city": "LEMONT FURNACE",
"state": "PA",
"postal_code": "154561029",
"telephone_number": "724-626-4444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 UNIVERSITY DR",
"city": "LEMONT FURNACE",
"state": "PA",
"postal_code": "154561029",
"telephone_number": "724-626-4444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRACY",
"first_name": "BRAELYN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-27",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "PA",
"license": "SP-8693543",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPMC",
"identifier": "23281",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1025726530002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BCBS",
"identifier": "PABLS",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lemont Furnace, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.