Active NPI
Tracee Burroughs-Gardner, MD
- Psychiatry Physician
- Wilmington, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C1-0009996
- Practice address
- 500 W 10TH St
Wilmington, DE 19801-1422 - Phone
- (302) 984-3380
- NPI assigned
- Mar 4, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | D67250 | MD | |
| Psychiatry Physician | 2084P0800X | C1-0009996 | DE | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
500 W 10TH St
Wilmington, DE 19801-1422
Mailing address
PO Box 64260
Baltimore, MD 21264-4260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018484500 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC, IN, WV, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150724010689 | MD | Practitioner - Psychiatry | 8224197090 | Reassigns benefits to 2 organizations |
| I20190109000612 | DC | Practitioner - Psychiatry | 8224197090 | Reassigns benefits to 3 organizations |
| I20260225003440 | IN | Practitioner - Psychiatry | 8224197090 | Reassigns benefits to 1 organization |
| I20260313002807 | WV | Practitioner - Psychiatry | 8224197090 | Reassigns benefits to 1 organization |
| I20260416002789 | OH | Practitioner - Psychiatry | 8224197090 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- PA Post Acute Services PCUrban Behavioral Associates
Practice addresses (Care Compare)
1217 W Fayette St
Baltimore, MD 21223-1938
Phone (410) 727-3947
16701 Melford Blvd
Suite 400
Bowie, MD 20715-4411
Phone (443) 841-4969
200 W Green Meadows Dr
Greenfield, IN 46140-1014
Phone (317) 462-3311
2525 W Belvedere Ave
Baltimore, MD 21215-5203
Phone (410) 367-9100
4904 War Admiral Dr
Indianapolis, IN 46237-9737
Phone (317) 885-3333
5226 E 82ND St
Indianapolis, IN 46250-1628
Phone (317) 842-6668
6700 Columbia Pike
Annandale, VA 22003-3450
Phone (703) 256-7000
7301 E 16TH St
Indianapolis, IN 46219-2308
Phone (317) 353-1290
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0009996 | DE | MD | Psychiatry Physician |
| D67250 | MD | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urban Behavioral Associates | Current | Accepting new patients | |
| Spring Leaf Solutions, LLC | Current | Accepting new patients | |
| Urban Behavioral Associates PA | Psychiatry | Current | Accepting new patients |
| PA Post Acute Services PC | Current | Accepting new patients |
Locations
6323 Georgia Ave NW
Ste 200
Washington, DC 20011
Phone (202) 291-0126
2525 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 367-9100
16701 Melford Blvd
Ste 400
Bowie, MD 20715
Phone (202) 836-7776
105 Time Sq
Salisbury, MD 21801
Phone (410) 749-2474
5001 Silver Hill Rd
Ste 101
Suitland, MD 20746
Phone (202) 836-7776
6700 Columbia Pike
Annandale, VA 22003
Phone (703) 256-7000
Organizations & group practices 5
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bowie, MD
- NPI 1568912178
DC, MD
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bowie, MD
- NPI 1629520762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1992834238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64260",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W 10TH ST",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198011422",
"telephone_number": "302-984-3380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURROUGHS-GARDNER",
"first_name": "TRACEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-04",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D67250",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DE",
"license": "C1-0009996",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018484500",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.