Tracy Elizabeth Foose, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

103132 Issued in CA

Practice address

655 Redwood Hwy Frontage Rd Ste 340
Mill Valley, CA 94941-3057

Phone

(415) 888-3467

NPI assigned

Apr 23, 2007

Last updated

Jul 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 11, 2018 through Jan 11, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1750509006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 REDWOOD HWY FRONTAGE RD STE 340",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413057",
            "telephone_number": "415-888-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 REDWOOD HWY FRONTAGE RD STE 340",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413057",
            "telephone_number": "415-888-3467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOOSE",
        "first_name": "TRACY",
        "middle_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "240963",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "103132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Flanigan
• Catherine Flaxman, LMFT
• Kacie Flegal, D.C.
• Jai Flicker
• Laravic Trance Flores, M.D.
• Denise Genevieve Santos Ford, CCC - SLP
• Patrick Ford, LMFT
• Emily Fortner
• Michael David Fox, MD
• Tiffany Franco, DPT

• Psychiatry Physician in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.