Active NPI
Tracy Laine Graham-Rice, LEP, PPS
- Psychologist
- South Pasadena, CA
National Provider Identifier
1538045596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3658
- Practice address
- 1401 Fair Oaks Ave
South Pasadena, CA 91030-6204 - Phone
- (213) 999-9592
- NPI assigned
- Aug 14, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3658 | CA | Primary |
Addresses
Primary practice location
1401 Fair Oaks Ave
South Pasadena, CA 91030-6204
Mailing address
2721 Lakewood Ave
Los Angeles, CA 90039-2618
Phone (213) 999-9592
Other names 1
- Tracie Laine Graham
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3658 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1538045596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2721 LAKEWOOD AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900392618",
"telephone_number": "213-999-9592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 FAIR OAKS AVE",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910306204",
"telephone_number": "213-999-9592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAHAM-RICE",
"first_name": "TRACY",
"middle_name": "LAINE",
"credential": "LEP, PPS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-14",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "3658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRACIE",
"last_name": "GRAHAM",
"middle_name": "LAINE",
"code": "5",
"type": "Other Name"
}
]
}Other providers in South Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.