Individual provider Active NPI

Tracee Burroughs-Gardner, MD

  • Psychiatry Physician
  • Wilmington, DE
National Provider Identifier
1992834238
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C1-0009996 Issued in DE
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

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
018484500MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, IN, WV, OH5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
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 PCGroup PAC ID 7911374905, 35 clinicians
Urban Behavioral AssociatesGroup PAC ID 5698712966, 2 clinicians

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

LicenseStateTypeSpecialty
C1-0009996DEMDPsychiatry Physician
D67250MDMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Behavioral Associates Current Accepting new patients
Spring Leaf Solutions, LLC CurrentSince Nov 1, 2018 Accepting new patients
Urban Behavioral Associates PA Psychiatry Current Accepting new patients
PA Post Acute Services PC CurrentSince Aug 15, 2025 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.

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

Verify at the official NPI Registry.