Tracy Lynne Deliman, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

17424 Issued in CA

Practice address

11245 Ragan Way
Grass Valley, CA 95949-6753

Phone

(510) 725-5454

NPI assigned

Nov 9, 2012

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

Other identifiers 1

Other names 1

• Tracy Lynne High Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1760736953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11245 RAGAN WAY",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959496753",
            "telephone_number": "510-725-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11245 RAGAN WAY",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959496753",
            "telephone_number": "510-725-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELIMAN",
        "first_name": "TRACY",
        "middle_name": "LYNNE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-09",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY17424",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "17424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST LICENSE",
            "identifier": "PSY17424",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "HIGH",
            "middle_name": "LYNNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lennon Dejaneiro
• Cara Nicole Del Chiaro, PA-C
• Christine Diane Delatorre
• Tina Lee Delaughter, LCSW
• Sophia Norah Delegard
• Scott J Della Maggiora, RADT
• Hayley Nicole Demarest
• Demartini Spring Hill Pharmacy Inc.
• Alan Joslin Demartini, PHARM.D
• David Alan Demartini, RPH

• Clinical Psychologist in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.