DR. TRACY S BENNETT (NPI# 1285790360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285790360 |
| Entity Type | Individual |
| Full Name | DR. TRACY S BENNETT |
| Credential | PH.D. |
| Practice Address |
340 Rosewood Ave Camarillo CA 93010-5927 |
| Practice Telephone | 8053830882 |
| Practice Fax Number | 8053830882 |
| Mailing Telephone | 8053830882 |
| Mailing Fax Number | 8053830882 |
| Enumeration Date | 2006-12-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY15696 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285243444 | Tracy Travina Bennett | Registered Nurse | 10762 Wilson Ave, Alta Loma, CA 91737-2436 | 2020-07-23 |
| 1548741895 | Tracy Lynne Bennett | Nurse Practitioner | 6262 Highway 316 S, Marvell, AR 72366-9439 | 2018-08-24 |
| 1811379332 | Tracy Lynn Bennett | Nurse Practitioner | 3281 Kessock Ridge Trl, Snellville, GA 30039-3112 | 2015-06-20 |
| 1619449147 | Tracy Bennett | Social Worker | 12265 James St, Holland, MI 49424-8613 | 2018-12-21 |
| 1457560419 | Tracy M Bennett | Physician Assistant | 360 Broadway, Bangor, ME 04401-3900 | 2007-05-22 |
| 1487869210 | Tracy W Bennett | Counselor | 95 India St, Portland, ME 04101-4250 | 2007-05-14 |
| Street Address |
340 ROSEWOOD AVE |
| City | CAMARILLO |
| State | CA |
| Zip Code | 93010-5927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043423940 | Daniel Patrick Flynn | Psychiatry & Neurology | 340 Rosewood Ave, Suite A, Camarillo, CA 93010-5927 | 2007-05-07 |
| 1114050507 | Stacy Hall Johnstone | Psychologist | 340 Rosewood Ave, Suite G, Camarillo, CA 93010-5927 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261366 | Edith Gallardo | Behavior Technician | 400 Mobile Avenue Suite A-3, Camarillo, CA 93010 | 2020-10-05 |
| 1568094761 | Amanda Montoya | Physical Therapist | 58 Calle Escalon, Camarillo, CA 93010 | 2020-02-06 |
| 1518509678 | Esther Marie Brown Gonzalez | Technician | 2826 Munson St, Camarilla, CA 93010 | 2019-10-10 |
| 1023666385 | Nancy Monetta Wigert | Speech-Language Pathologist | 155 Granada Street #a, Camarillo, CA 93010 | 2019-08-29 |
| 1174098651 | Tatianna Kraft | Counselor | 4243 Vincente Ave, Camarillo, CA 93010 | 2018-10-10 |
| 1861977662 | Marina Wischnack | Psychologist | 1200 Paseo Camarillo, Suite 245, Camarillo, CA 93010 | 2018-09-27 |
| 1417430620 | Peter Lawrence Mcdermott | Anesthesiology | 141 Lapatera Drive, Camarillo, CA 93010 | 2018-09-13 |
| 1689162521 | Mehgan Lynn Lambert | Specialist | 333 Skyway Drive, Camarillo, CA 93010 | 2018-04-26 |
| 1134643208 | Hailey Kay Kohler | Social Worker | 692 Spring Oak Road Unit 721, Camarillo, CA 93010 | 2017-08-01 |
| 1174052369 | Demi Shugrue | Counselor | 2021 Sperry Ave, Suite 37, Ventura, CA 93010 | 2017-06-09 |
| Find all providers in zip 93010 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093194136 | Lisa M. Barra | Psychologist | 80 N Wood Rd, Ste 306, Camarillo, CA 93010-8310 | 2015-05-21 |
| 1427313535 | Ashley Ribeiro | Psychologist | 1601 Carmen Dr Ste 201, Camarillo, CA 93010-3103 | 2012-07-05 |
| 1215236674 | Priscilla Partridge De Garcia | Psychologist | 520 Camino Concordia, Camarillo, CA 93010-8417 | 2011-03-23 |
| 1306171830 | Laura R. Addison | Psychologist | 621 Via Alondra, Suite 611a, Camarillo, CA 93012-8095 | 2009-10-16 |
| 1952550808 | Kimberly Ann Dorsett | Psychologist | 400 W Ventura Blvd Ste 230, Camarillo, CA 93010-9142 | 2008-09-16 |
| 1497201537 | Katherine Hamilton, Ph.d., A California Psychology Corporation | Psychologist | 1000 Paseo Camarillo Ste 114, Camarillo, CA 93010-0751 | 2016-08-29 |
| 1164869582 | Jill Lynn Moland | Psychologist | 360 Mobil Ave, Ste 214, Camarillo, CA 93010-6444 | 2013-05-24 |
| 1699027581 | Darla E Dixon | Psychologist | 975 Flynn Rd, Camarillo, CA 93012-8704 | 2012-10-03 |
| 1508137647 | Dr. Deborah Digiaro Psychologist, Inc. | Psychologist | 1601 Carmen Dr, Suite 106, Camarillo, CA 93010-3105 | 2012-01-20 |
| 1275812257 | Jessica Layne Schneider | Psychologist | 1722 S Lewis Rd, Camarillo, CA 93012-8520 | 2011-08-09 |
| Find all providers in CAMARILLO | ||||
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| 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.