Individual provider Active NPI

Tracy E Ochester, PSY.D.

  • Clinical Psychologist
  • Leawood, KS
National Provider Identifier
1639117575
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1199 Issued in KS
Practice address
11100 Ash St Ste 202
Leawood, KS 66211-1943
Phone
(913) 317-5566
Fax
(913) 548-0609
NPI assigned
Jun 3, 2006
Last updated
Jul 2, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2003030100 MO
Clinical Psychologist 103TC0700X 1199 KS Primary

Addresses

Primary practice location

11100 Ash St Ste 202
Leawood, KS 66211-1943

Mailing address

11100 Ash St Ste 202
Leawood, KS 66211-1943
Phone (913) 317-5566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2014 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1199KSMDClinical Psychologist
2003030100MOMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Springs Psychological Services LLC PastSince Jun 1, 2014 Accepting new patients
Counseling Services, LLC PastSince Feb 1, 2001 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246492800000",
    "number": "1639117575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 ASH ST STE 202",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111943",
            "telephone_number": "913-317-5566",
            "fax_number": "913-548-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 ASH ST STE 202",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662111943",
            "telephone_number": "913-317-5566",
            "fax_number": "913-548-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCHESTER",
        "first_name": "TRACY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2009-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2003030100",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "1199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leawood, KS

Sources for this page

Verify at the official NPI Registry.