Tracy Carey PHD. PA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

32862 Issued in TX

Legal business name

TRACY CAREY PHD. PA

Practice address

1618 Williams Dr
Ste 2
Georgetown, TX 78628-3660

Phone

(512) 869-6961

Fax

(512) 869-5639

NPI assigned

Oct 25, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Tracy Carey, PHDNPI 1154350734

Title

Owner

Phone

(512) 869-6961

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tracy C Carey, PHD

  • Clinical Psychologist
  • Temple, TX
  • NPI 1154350734
  NPD (past) Authorized official

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437234143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 WILLIAMS DR",
            "address_2": "STE 2",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283660",
            "telephone_number": "512-869-6961",
            "fax_number": "512-869-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 WILLIAMS DR",
            "address_2": "STE 2",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786283660",
            "telephone_number": "512-869-6961",
            "fax_number": "512-869-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY CAREY PHD. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAREY",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-869-6961",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "32862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.