Tracy Annette Sealy

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

12917 Cerise Ave
Hawthorne, CA 90250-5520

Phone

(310) 675-4431

Fax

(310) 675-4434

NPI assigned

Jul 24, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Behavioral Health Services

  • Substance Abuse Rehabilitation Facility
  • Hawthorne, CA
  • NPI 1619008380
  NPD (past)

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1851945299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12917 CERISE AVE",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902505520",
            "telephone_number": "310-675-4431",
            "fax_number": "310-675-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12917 CERISE AVE",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902505520",
            "telephone_number": "310-675-4431",
            "fax_number": "310-675-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEALY",
        "first_name": "TRACY",
        "middle_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burton Schnierow
• Benjamin Hugh Schoepke
• Rosetta Scott
• Tracey Lynn Scott, WHNP-BC, BSN, MSN
• Kenunique Scutter
• Michelle Renee Seaton, FNP-C
• Desirae A. Segura, ARNP
• Parkash K. Sehdeva, M.D.
• Camden McGwyre Selby, PT, DPT
• Jose Serrano III, RDN

• All providers in Hawthorne, CA
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.