TRACY BLOOD (NPI# 1013280015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013280015 |
| Entity Type | Individual |
| Full Name | TRACY BLOOD |
| Credential | PH.D |
| Practice Address |
11120 New Hampshire Ave Suite # 204 Silver Spring MD 20904-2633 |
| Mailing Address |
11120 New Hampshire Ave Suite # 204 Silver Spring MD 20904 |
| Practice Telephone | 3015931315 |
| Practice Fax Number | 3016814699 |
| Mailing Telephone | 3015931315 |
| Mailing Fax Number | 3016814699 |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
04991 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | CAQH | 12329271 | 01 |
| Street Address |
11120 NEW HAMPSHIRE AVE SUITE # 204 |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20904-2633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235119447 | Michael E Leibowitz | Internal Medicine | 11120 New Hampshire Ave, Suite 305, Silver Spring, MD 20904-2633 | 2006-01-23 |
| 1730732959 | Kate Regan | Dietitian, Registered | 11120 New Hampshire Ave, Silver Spring, MD 20904-2633 | 2019-07-17 |
| 1104380229 | Mehrnaz Paydar | Dietitian, Registered | 11120 New Hampshire Ave, Silver Spring, MD 20904-2633 | 2019-01-23 |
| 1164956207 | Zafira Ismail Bhimani | Physical Therapist | 11120 New Hampshire Ave, Suite 411, Silver Spring, MD 20904-2633 | 2017-04-15 |
| 1447702097 | Nicholas Poulos | Specialist | 11120 New Hampshire Ave, Suite 200, Silver Spring, MD 20904-2633 | 2016-10-31 |
| 1104282409 | Eran Kessous Md PC | Clinic/Center | 11120 New Hampshire Ave, 411, Silver Spring, MD 20904-2633 | 2016-01-04 |
| 1689039075 | Lisa Medoh | Nurse Practitioner | 11120 New Hampshire Ave, Silver Spring, MD 20904-2633 | 2015-12-29 |
| 1811364540 | Silver Spring Ent, LLC | Specialist | 11120 New Hampshire Ave, Suite 504, Silver Spring, MD 20904-2633 | 2015-08-28 |
| 1053724518 | Jessica Curran | Family Medicine | 11120 New Hampshire Ave, Suite 411, Silver Spring, MD 20904-2633 | 2014-06-03 |
| 1588084883 | Nava Shlesinger | Physical Therapist | 11120 New Hampshire Ave, Suite 411, Silver Spring, MD 20904-2633 | 2014-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487292678 | Vas Adult Day Care Center | Clinic/Center | 12621 Old Columbia Pike, Silver Spring, MD 20904 | 2019-12-18 |
| 1619512837 | David Newsome | General Practice | 12305 Sandalwood Lane, Silver Spring, MD 20904 | 2019-11-12 |
| 1215595996 | Educational Speech Services Prattle On | Speech-Language Pathologist | 2804 Mozart Drive, Silver Spring, MD 20904 | 2019-05-29 |
| 1184288201 | Danielle Fitzpatrick Tarbrake | Speech-Language Pathologist | Cannon Road Elementary School, 901 Cannon Road, Silver Spring, MD 20904 | 2019-04-24 |
| 1912483181 | Florence M Edorh-damlin | Home Health Aide | 14119 Castle Blvd Apt 102, Silver Spring, MD 20904 | 2018-07-11 |
| 1922594357 | Melanie Bennett | Occupational Therapist | 3500 Sheffield Manor Terrace, Silver Spring, MD 20904 | 2018-07-09 |
| 1578056602 | Chioma Theresa Nwaneri | Home Health Aide | 1516 November Cir Apt 201, Silver Spring, MD 20904 | 2018-06-13 |
| 1598287989 | Wandji Ngatchou | Home Health Aide | 13908 Castle Blvd Apt 303, Silver Spring, MD 20904 | 2017-07-07 |
| 1871025239 | Rose Abanda | Home Health Aide | 11700 Old Columbia Pike Apt 703, Silver Spring, MD 20904 | 2017-04-03 |
| 1962955930 | Bentilda Healthcare Services | Nursing Care | 13526 Collingwood Ter, Silver Spring, MD 20904 | 2016-07-26 |
| Find all providers in zip 20904 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730786039 | Lisa Anne Joseph | Psychologist | 114 Lynnmoor Dr, Silver Spring, MD 20901-1515 | 2020-10-08 |
| 1912555251 | Monya Jo Cohen | Psychologist | 2407 Pondside Ter, Silver Spring, MD 20906-5752 | 2019-08-29 |
| 1154985026 | Tarik Djamil | Psychologist | 8607 2nd Ave Ste 506, Silver Spring, MD 20910-3355 | 2019-04-26 |
| 1881187433 | Becker Psychological Services Inc. | Psychologist | 804 Pershing Dr Ste 4, Silver Spring, MD 20910-4436 | 2018-06-08 |
| 1952810889 | Marcia Smith | Psychologist | 15310 Beaverbrook Ct Apt 1b, Silver Spring, MD 20906-1307 | 2017-09-22 |
| 1497208797 | Safe Harbor Christian Counseling | Psychologist | 12805 Georgia Ave, Silver Spring, MD 20906-3716 | 2016-08-03 |
| 1558725408 | Rachel Levy Ravin | Psychologist | 1370 Lamberton Dr., Suite 17, Silver Spring, MD 20902 | 2016-04-07 |
| 1831554252 | Ivan Marin-soler | Psychologist | 9604 Sutherland Road, Silver Spring, MD 20901 | 2015-12-30 |
| 1891167052 | Safe Harbor Christian Counseling | Psychologist | 604 Pershing Dr, Silver Spring, MD 20910-4318 | 2015-10-28 |
| 1104297951 | Kwesi Dunston I | Psychologist | 415 Neale Ave, Silver Spring, MD 20901-4414 | 2015-10-19 |
| Find all providers in SILVER SPRING | ||||
| City | SILVER SPRING |
| Zip Code | 20904 |
Please comment or provide details below to improve the information on TRACY BLOOD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.