TRACY BROOKE RYARU PH.D.
NPI 1073714689
Psychologist in Kentfield, CA
About Tracy Brooke Ryaru Ph.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACY BROOKE RYARU PH.D. (NPI 1073714689) is an individual psychologist in Kentfield, California, licensed in California (PSY 24226) and active in the NPI registry since May 2007. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Tracy Brooke Ryaru Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2017 through April 1, 2027.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KENTFIELD, CA 94904
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tracy Ryaru's NPI number?
The NPI number for Tracy Ryaru is 1073714689. It was assigned to this individual provider in the NPPES registry on May 30, 2007.
Where is Tracy Ryaru located?
Tracy Ryaru practices at 1044 Sir Francis Drake Blvd Ste 4, Kentfield, CA 94904. The listed phone number is (415) 721-3344.
What is Tracy Ryaru's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Tracy Ryaru enrolled in Medicare?
No. Tracy Ryaru has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Tracy Ryaru was last updated on July 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.