Active NPI
Tracy Protti, PH.D.
- Psychologist
- New Orleans, LA
National Provider Identifier
1629620984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 40024
- Practice address
- 2400 Canal St
New Orleans, LA 70119-6535 - Phone
- (662) 487-6774
- NPI assigned
- Jul 16, 2019
- 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 | 40024 | TX | Primary |
Addresses
Primary practice location
2400 Canal St
New Orleans, LA 70119-6535
Mailing address
3014 Dauphine St Ste a
New Orleans, LA 70117-6755
Phone (662) 487-6774
Other practice location 1
5619 Belmont Ave Apt 1307
Dallas, TX 75206-6771
Phone (662) 487-6774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1904 Belmont PL
Metairie, LA 70001-2606
3014 Dauphine St
Suite a
New Orleans, LA 70117-6725
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1748 | LA | MD | Professional Counselor |
| 40024 | TX | MD | Pharmacist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- New Orleans, LA
- NPI 1205608676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1629620984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3014 DAUPHINE ST STE A",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701176755",
"telephone_number": "662-487-6774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 CANAL ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701196535",
"telephone_number": "662-487-6774"
}
],
"practiceLocations": [
{
"address_1": "5619 Belmont Ave Apt 1307",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752066771",
"country_code": "US",
"telephone_number": "662-487-6774",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PROTTI",
"first_name": "TRACY",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-16",
"last_updated": "2023-10-27",
"certification_date": "2023-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "40024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.