DR. MICHAEL LAWRENCE TRACY


Address: 201 N Rose Ave, Indiana University School of Education 4046, Bloomington, IN 47405-1005
Phone: 8128568345

DR. MICHAEL LAWRENCE TRACY (NPI# 1063719631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063719631
Entity Type Individual
Full Name DR. MICHAEL LAWRENCE TRACY
Credential PH.D.
Practice Address 201 N Rose Ave
Indiana University School of Education 4046
Bloomington
IN 47405-1005
Practice Telephone 8128568345
Practice Fax Number 8128568333
Mailing Telephone 8128568345
Mailing Fax Number 8128568333
Enumeration Date 2011-02-17
Last Update Date 2011-02-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
20090109A IN Behavioral Health & Social Service Providers
N 106H00000X Marriage & Family Therapist 35001023A IN Behavioral Health & Social Service Providers

Other Providers MICHAEL TRACY

NPI Name Taxonomy Address Enumeration
1033312285 Michael W Tracy Social Worker 411 N Brigham Ave, American Fork, UT 84003-1835 2007-06-06
1124229380 Michael Kennedy Tracy Ophthalmology 6183 Paseo Del Norte Ste 290, Carlsbad, CA 92011-1151 2007-05-29
1295995751 Michael C Tracy Pediatrics 725 Welch Rd, Palo Alto, CA 94304-1601 2008-06-09
1477733061 Michael Richard Tracy Orthopaedic Surgery 334 Main St, Dickson City, PA 18519-1668 2007-11-12
1770778805 Michael B Tracy Physical Medicine & Rehabilitation 380 Empire Rd, Suite 200, Lafayette, CO 80026-2677 2007-09-11
1780749135 Michael Spencer Tracy Nurse Anesthetist, Certified Registered 975 Sereno Dr, Vallejo, CA 94589-2485 2006-12-26
1124054945 Michael C Tracy Emergency Medicine 1800 Barrs St, Jacksonville, FL 32204-4704 2006-06-23
1689662595 Michael D Tracy Internal Medicine 450 Mountain View St, Powell, WY 82435-2212 2005-10-13

Office Location

Street Address 201 N ROSE AVE
INDIANA UNIVERSITY SCHOOL OF EDUCATION 4046
City BLOOMINGTON
State IN
Zip Code 47405-1005

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245352855 Kimberly Wagner Psychologist 201 N Rose Ave, Room 32, Bloomington, IN 47405-1005 2007-04-04
1467771337 Lynn Gilman Psychologist 201 N Rose Ave, Suite 0001, Bloomington, IN 47405-1005 2010-05-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245786896 Jennifer Whitley Speech-Language Pathologist 200 S. Jordan Avenue, Bloomington, IN 47405 2016-09-01
1801342621 William Daniels Jr. Health Educator 600 N. Jordan Ave., Bloomington, IN 47405 2016-08-31
1588053664 Sara Anne Boyer Preventive Medicine 1025 E. 7th Street, Rm C200, School of Public Health, Indiana University, Bloomington, IN 47405 2015-01-13
1437438181 Walter Lawrence Campbell Counselor 600 N. Jordan Ave, Bloomington, IN 47405 2011-08-12
1568580314 Linda Jean Noble Physical Therapist Indiana University Health Center, 600 North Jordan Ave., Bloomington, IN 47405 2007-03-27
1811482854 Alexandria Lui Optometrist 744 E 3rd St, Bloomington, IN 47405 2018-06-22
1295234763 Joshua Allan Stommes Optometrist 800 E Atwater Ave, Bloomington, IN 47405 2018-02-09
1548410038 Elin C Grimes Dietitian, Registered 600 N Jordan Ave, Indiana University Health Center, Bloomington, IN 47405 2008-09-22
1366432528 Rebecca D. Eberle Speech-Language Pathologist 200 S Jordan Ave, Department of Speech and Hearing Sciences, Bloomington, IN 47405 2005-10-27
1477171122 Ellen Vaughan Psychologist 201 N Rose Ave Rm 4054, Bloomington, IN 47405-1005 2020-07-09
Find all providers in zip 47405

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154885028 Sara J. W. Biebl, Ph.d., Licensed Psychologist, Pllc Psychologist 7900 Xerxes Ave S Ste 1125, Bloomington, MN 55431-1112 2019-01-24
1053894501 Thrive Psychology Services, LLC Psychologist 4120 W Dresden Dr, Bloomington, IN 47404-8403 2018-09-11
1194184465 Chjl LLC Psychologist 8120 Penn Ave S Ste 252, Bloomington, MN 55431-1358 2016-02-16
1992100077 Lindeman and Associates, LLC Psychologist 3802 E 3rd St, Suite 220, Bloomington, IN 47401-5504 2014-10-30
1255772174 Amanda Quinby Psychologist 205 N College Ave Ste 512, Bloomington, IN 47404-3952 2013-07-08
1457609802 Jason Vasquez Psychologist 2416 Washington, A-3, Bloomington, IL 61704 2012-08-16
1710282058 Annorah Sheeran Moorman Psychologist 1319 Fell Ave, Bloomington, IL 61701-1828 2011-01-18
1477860609 Hoffmann Burchett Psychological Services, LLC Psychologist 205 N Williamsburg Dr, Suite F, Bloomington, IL 61704-7706 2010-09-09
1356654693 James Wiltz Psychologist 2745 E Elderberry Ct, Bloomington, IN 47401-4307 2010-07-15
1528207784 Jennifer Elizabeth Koch Psychologist 2502 E Empire St Ste C, Bloomington, IL 61704-3739 2009-02-11
Find all providers in BLOOMINGTON

Competitor

Search similar providers

City BLOOMINGTON
Zip Code 47405

Improve Information

Please comment or provide details below to improve the information on DR. MICHAEL LAWRENCE TRACY.

Dataset Information

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.

Trending Searches