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

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: October 25, 2026.

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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John M. Tracy, Phd, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to John M. Tracy, Phd, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

John Tracy, PH.D.
Clinical Psychologist
NPI 1437650330
3312 KALISTE SALOOM RD BLDG 1
Lafayette, LA 70508
(337) 534-0727
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.

Where is John M. Tracy, Phd, LLC located?

John M. Tracy, Phd, LLC is located at 3312 Kaliste Saloom Rd Bldg 1, Lafayette, LA 70508. The listed phone number is (337) 534-0727.

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.

Is John M. Tracy, Phd, LLC enrolled in Medicare?

Yes. John M. Tracy, Phd, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through John M. Tracy, Phd, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to John M. Tracy, Phd, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for John M. Tracy, Phd, LLC was last updated on July 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.