JOHN M. TRACY, PHD, LLC
NPI 1124708458
Psychologist - Prescribing (Medical) in Lafayette, LA

Q: What is John M. Tracy, Phd, LLC's NPI number?

The NPI number for John M. Tracy, Phd, LLC is 1124708458. It was assigned to this organization in the NPPES registry on July 21, 2023.

Q: What is John M. Tracy, Phd, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

Active since July 21, 2023

3312 KALISTE SALOOM RD BLDG 1, LAFAYETTE, LA 70508(337) 534-0727(337) 534-0737 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About John M. Tracy, Phd, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN M. TRACY, PHD, LLC (NPI 1124708458) is a healthcare organization registered as a prescribing (medical) in Lafayette, Louisiana and active in the NPI registry since July 2023. The organization lists John M Tracy, Medical And Counseling Psychologist, as its authorized official.

NPPES Registry Identity

NPI1124708458

Entity TypeOrganization

Primary Taxonomy103TP0016X

Legal Business NameJOHN M. TRACY, PHD, LLC

Location Address3312 KALISTE SALOOM RD BLDG 1Lafayette, LA 70508-7449

Mailing Address139 Teche DrLafayette, LA 70503-2537

Phone(337) 534-0727

Fax(337) 534-0737

Organization SubpartNo

Authorized OfficialJohn M TracyMedical And Counseling Psychologist · (337) 534-0727

Enumeration DateJuly 21, 2023

NPPES CertifiedJuly 21, 2023

✔ NPI 1124708458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers

Taxonomy Code103TP0016X

Definition

A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

3312 KALISTE SALOOM RD BLDG 1, Lafayette, LA 70508

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CEDRINA KNIGHT AVERETTE PHD

Psychologist (Counseling)