Individual provider Active NPI

Tracy N Kreiling, PSYD

  • Clinical Psychologist
  • Creswell, OR
National Provider Identifier
1659682177
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2524 Issued in OR
Practice address
170 Melton Rd
Creswell, OR 97426-9453
Phone
(541) 306-6456
NPI assigned
Jun 30, 2010
Last updated
Jan 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2524 OR Primary

Addresses

Primary practice location

170 Melton Rd
Creswell, OR 97426-9453

Mailing address

170 Melton Rd
Creswell, OR 97426-9453
Phone (541) 306-6456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150306002291 OR Practitioner - Clinical Psychologist 8123212701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

170 Melton Rd
Creswell, OR 97426-9453
Phone (541) 306-6456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2524ORMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropsychological Services of Oregon, LLC Psychologist CurrentSince Mar 6, 2015 Accepting new patients
Geisinger Clinic Past Accepting new patients
Neurology Associates Eugene-Springfield PC Past Accepting new patients

Locations

231 Scalehouse Loop
Ste 204
Bend, OR 97702
Phone (541) 306-6456

1 Hayden Bridge Way
Springfield, OR 97477
Phone (541) 686-2837

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": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1659682177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MELTON RD",
            "city": "CRESWELL",
            "state": "OR",
            "postal_code": "974269453",
            "telephone_number": "541-306-6456",
            "fax_number": "541-647-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MELTON RD",
            "city": "CRESWELL",
            "state": "OR",
            "postal_code": "974269453",
            "telephone_number": "541-306-6456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREILING",
        "first_name": "TRACY",
        "middle_name": "N",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "2524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creswell, OR

Sources for this page

Verify at the official NPI Registry.