Active NPI
Tracy S Reinhardt, PSY.D.
- Specialist
- Normandy Park, WA
National Provider Identifier
1689849903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PY00003870
- Practice address
- 19987 1St Ave S Ste 101
Normandy Park, WA 98148-2400 - Phone
- (206) 715-8640
- NPI assigned
- Apr 28, 2008
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | PY00003870 | WA | Primary |
Addresses
Primary practice location
19987 1St Ave S Ste 101
Normandy Park, WA 98148-2400
Mailing address
19987 1St Ave S Ste 101
Normandy Park, WA 98148-2400
Phone (206) 715-8640
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 14, 2020 through Oct 14, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY00003870 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329350400000",
"number": "1689849903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19987 1ST AVE S STE 101",
"city": "NORMANDY PARK",
"state": "WA",
"postal_code": "981482400",
"telephone_number": "206-715-8640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19987 1ST AVE S STE 101",
"city": "NORMANDY PARK",
"state": "WA",
"postal_code": "981482400",
"telephone_number": "206-715-8640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REINHARDT",
"first_name": "TRACY",
"middle_name": "S",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-28",
"last_updated": "2012-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "PY00003870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Normandy Park, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.