Active NPI
Tracy Lynn Krout-Watson, PSY.S., NCSP
- School Psychologist
- Spartanburg, SC
National Provider Identifier
1942549571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 204050
- Practice address
- 355 Cedar Springs Rd
Spartanburg, SC 29302-4628 - Phone
- (864) 577-7500
- Fax
- (864) 577-7621
- NPI assigned
- Feb 1, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 204050 | SC | Primary |
Addresses
Primary practice location
355 Cedar Springs Rd
Spartanburg, SC 29302-4628
Mailing address
355 Cedar Springs Rd
Spartanburg, SC 29302-4628
Phone (864) 577-7500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 204050 | Other | SC | SC STATE BOARD OF EDUCATION EDUCATOR CERTIFICATE |
| 32208 | Other | NATIONALLY CERTIFIED SCHOOL PSYCHOLOGIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204050 | SC | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Carolina School for the Deaf and the Blind | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Spartanburg, SC
- NPI 1992753578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359676800000",
"number": "1942549571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 CEDAR SPRINGS RD",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293024628",
"telephone_number": "864-577-7500",
"fax_number": "864-577-7621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 CEDAR SPRINGS RD",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293024628",
"telephone_number": "864-577-7500",
"fax_number": "864-577-7621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROUT-WATSON",
"first_name": "TRACY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "PSY.S., NCSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-01",
"last_updated": "2013-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "SC",
"license": "204050",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC STATE BOARD OF EDUCATION EDUCATOR CERTIFICATE",
"identifier": "204050",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONALLY CERTIFIED SCHOOL PSYCHOLOGIST",
"identifier": "32208",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.