NPIMap

Individual provider Active NPI

Tracy E. Ransom, PSY.D.

  • Clinical Psychologist
  • Old Saybrook, CT
National Provider Identifier
1760704241
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS017010 Issued in PA
Practice address
20 Research Pkwy
Old Saybrook, CT 06475-4214
Phone
(800) 370-3651
NPI assigned
Feb 24, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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 PS017010 PA Primary

Addresses

Primary practice location

20 Research Pkwy
Old Saybrook, CT 06475-4214

Mailing address

20 Research Pkwy
Old Saybrook, CT 06475-4214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110729000115 PA Practitioner - Clinical Psychologist 3971771395 Reassigns benefits to 1 organization
I20200520003746 DE Practitioner - Clinical Psychologist 3971771395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Philadelphia College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Shepherd Rehabilitation HospitalGroup PAC ID 9335032390, 21 clinicians

Practice addresses (Care Compare)

2545 Schoenersville Rd
Bethlehem, PA 18017-7300
Phone (484) 884-5000

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PS017010PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc CurrentSince May 14, 2020 Accepting new patients
Good Shepherd Rehabilitation Hospital Current Accepting new patients
Christiana Care Health Services, Inc CurrentSince May 14, 2020 Accepting new patients
Good Shepherd Rehabilitation Hospital Clinical CurrentSince Feb 14, 2022 Accepting new patients
Good Shepherd Rehabilitation Hospital CurrentSince Feb 14, 2022 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services, Inc Past Accepting new patients
Christiana Care Health Services Inc Past Accepting new patients

Locations

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

100 Sunnyside Rd
#2
Smyrna, DE 19977
Phone (302) 653-1900

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

850 S 5th St
Allentown, PA 18103
Phone (610) 776-3278

2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888

3200 Center Valley Pkwy
Center Valley, PA 18034
Phone (610) 242-0345

Interoperability endpoints

  • Direct secure messaging: tracy.ransom.1@11391.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/5c7467fb-60f9-4172-add4-57667a5dfcfa/
  • FHIR API: https://api.platform.athenahealth.com/11391/brand/2/csg/21/fhir/r4

Organizations & group practices 8

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1760704241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 RESEARCH PKWY",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064754214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 RESEARCH PKWY",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064754214",
            "telephone_number": "800-370-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANSOM",
        "first_name": "TRACY",
        "middle_name": "E.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-24",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Saybrook, CT

Sources for this page

Verify at the official NPI Registry.