DR. TRACY THOMPSON LATZ (NPI# 1407879851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407879851 |
| Entity Type | Individual |
| Full Name | DR. TRACY THOMPSON LATZ |
| Credential | M.D., M.S. |
| Practice Address |
116 S Main St Suite 301 Mooresville NC 28115-2373 |
| Practice Telephone | 7046623200 |
| Practice Fax Number | 7046623288 |
| Mailing Telephone | 7046623200 |
| Mailing Fax Number | 7046623288 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
34660 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 51148 | 01 |
| NC | DEA | BL3006839 | 01 |
| NC | STATE LICENSE | NC 34660 | 01 |
| ABPN CERT. # EXP. 2014 | 41028 | 01 | |
| NC | MEDCOST | 58366 | 01 |
| NC | 7951148 | 05 |
| Street Address |
116 S MAIN ST SUITE 301 |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28115-2373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457350977 | Stephen Michael Moyer | Psychologist | 116 S Main St, Mooresville, NC 28115-2373 | 2005-07-18 |
| 1780958124 | A Loving Hand Counseling Service | Counselor | 116 S Main St, Suite 106, Mooresville, NC 28115-2373 | 2012-03-02 |
| 1073764221 | Elizabeth Cowan Hutcheson | Social Worker | 116 S Main St, Suite 202, Mooresville, NC 28115-2373 | 2008-10-07 |
| 1558587055 | Pamela J Meeds Psy D Pa | Psychologist | 116 S Main St, Suite 207, Mooresville, NC 28115-2372 | 2007-04-17 |
| 1891786117 | Vincent Louis Pastore | Psychologist | 116 S Main St, Ste 203, Mooresville, NC 28115-2373 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376172338 | Shawn Booth | Counselor | 111 Laporte Lane, Mooresville, NC 28115 | 2020-04-02 |
| 1407418262 | Carlyn Jean Malenfant | Dentist | Loveland Dental Group of Mooresville, 134 N. Magnolia Street, Mooresville, NC 28115 | 2019-07-02 |
| 1619435906 | Loveland Dental Group of Mooresville | Dentist | 134 N. Magnolia Street, Mooresville, NC 28115 | 2019-03-06 |
| 1801317383 | Jessie Watts Gogg | Social Worker | 138 Shepherd Rd, Mooresville, NC 28115 | 2017-07-05 |
| 1063869469 | Amber Hicks-thibodeau | Family Medicine | 798 Oak Ridge Farm Hwy. Suite A, Mooresville, NC 28115 | 2016-05-16 |
| 1003286774 | Lauren Holscher | Speech-Language Pathologist | 3369 Deal Rd, Mooresville, NC 28115 | 2015-10-06 |
| 1629460217 | Jenny S Ryerson | Social Worker | 919 N Main St Ste B, Mooresville, NC 28115 | 2015-02-19 |
| 1720495435 | Lindsey Gardner | Pharmacist | 966 E Iredell Ave., Mooresville, NC 28115 | 2014-07-14 |
| 1568899169 | Saloni Mehta | Physical Therapist | 550 Glenwood Drive, Genesis Rehab, Charlotte, NC 28115 | 2013-09-27 |
| 1528312600 | Ronnie G. Davidson II Dmd Pa | Dentist | 134 N. Magnolia St., Mooresville, NC 28115 | 2012-10-29 |
| Find all providers in zip 28115 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629230263 | Kerry Lynn Musick | Psychiatry & Neurology | 136 Fairview Rd Ste 125, Mooresville, NC 28117-8547 | 2008-06-25 |
| 1598857401 | Jason Elia Mastor | Psychiatry & Neurology | 206 Joe V Knox Ave, Suite F, Mooresville, NC 28117-7911 | 2006-09-28 |
| 1710402904 | Kerry L. Musick, Md, Pllc | Psychiatry & Neurology | 136 Fairview Rd Ste 125, Mooresville, NC 28117-8547 | 2017-08-08 |
| 1013263151 | Wellness Psychiatry Group, P.C. | Psychiatry & Neurology | 249 Williamson Rd, Suite 102, Mooresville, NC 28117-8195 | 2012-07-26 |
| 1871813352 | Lake Norman Child and Adolescent Psychiatry | Psychiatry & Neurology | 223 Williamson Rd, Suite 103, Mooresville, NC 28117-8198 | 2010-06-07 |
| 1457508145 | Saif-uddin Masood Mohsin | Psychiatry & Neurology | 249 Williamson Rd, Suite 102, Mooresville, NC 28117-8195 | 2008-08-25 |
| 1376707810 | Umang Shah | Psychiatry & Neurology | 249 Williamson Rd, Suite 102, Mooresville, NC 28117-8195 | 2008-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851696 | Cana Psychiatric Health | Psychiatry & Neurology | 1846 E Innovation Park Dr #100, Oro Valley, NC 27502-2750 | 2020-11-04 |
| 1750999876 | Integral Mental Healthcare Pllc | Psychiatry & Neurology | 1105 Walnut St Ste F-16031, Cary, NC 27511-4762 | 2020-07-14 |
| 1740808096 | Best Day Psychiatry and Counseling, PC | Psychiatry & Neurology | 4905 Pine Cone Dr Ste 9, Durham, NC 27707-5258 | 2020-07-13 |
| 1851917710 | Lux Psychiatry, Pllc | Psychiatry & Neurology | 101 Colvard Street, Jefferson, NC 28640 | 2020-06-17 |
| 1639792245 | Summit Health Psychiatry, PC | Psychiatry & Neurology | 226 Shannon Rd, Hendersonville, NC 28791-8739 | 2020-05-19 |
| 1083240592 | Sabrina Michelle Campbell | Psychiatry & Neurology | 1601 Brenner Ave Bldg 8-1, Salisbury, NC 28144-2515 | 2020-03-16 |
| 1457986416 | Benjamin Boris Brodey | Psychiatry & Neurology | 201 E Rosemary St, Chapel Hill, NC 27514-3529 | 2020-03-10 |
| 1538794276 | Carolina Psychiatry Center, Pllc | Psychiatry & Neurology | 301 Keisler Dr Ste A, Cary, NC 27518-7018 | 2020-03-03 |
| 1568002608 | Avant Medical Consulting Pllc | Psychiatry & Neurology | 109 Rosegarten Ct, New Bern, NC 28562-1016 | 2020-01-07 |
| 1518503994 | Mental Health Associates and Addiction | Psychiatry & Neurology | 1944 Hendersonville Rd # D-1a, Asheville, NC 28803-2351 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
| City | MOORESVILLE |
| Zip Code | 28115 |
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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.