DR. TRACY JO DRAHOTA PSYD
NPI 1134425929
Psychologist - Clinical in Phoenix, AZ

Q: What is Tracy Drahota's NPI number?

The NPI number for Tracy Drahota is 1134425929. It was assigned to this individual provider in the NPPES registry on January 27, 2011. The provider is also known as Tracy Jo Dixon.

Q: What is Tracy Drahota's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Drahota was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since January 27, 2011PECOS Enrolled

9610 N METRO PKWY W, PHOENIX, AZ 85051(480) 964-2273(602) 843-1560 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 11, 2023, Jun 4, 2021, Jan 13, 2021 and 1 more (4 updates tracked since 2017).

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About Dr. Tracy Jo Drahota Psyd NPPES

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

DR. TRACY JO DRAHOTA PSYD (NPI 1134425929) is an individual clinical provider in Phoenix, Arizona, licensed in Arizona (PSY-004145) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Central Point.

NPPES Registry Identity

NPI1134425929

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. TRACY JO DRAHOTACredential: PSYD

Location Address9610 N METRO PKWY WPhoenix, AZ 85051-1402

Mailing Address3033 N Central Ave Ste 145Phoenix, AZ 85012-2808 · (623) 583-3001

Phone(480) 964-2273

Fax(602) 843-1560

Sole ProprietorNo

Enumeration DateJanuary 27, 2011

Last NPPES UpdateMay 2, 20254 updates tracked since enumeration

NPPES CertifiedMay 2, 2025

✔ NPI 1134425929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in AZ · PSY-004145✔ Licensed in OR · 3289

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

9610 N METRO PKWY W, Phoenix, AZ 85051

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Other Names 1

Former Name (1)Tracy Jo Dixon

Secondary Practice Location 1

Location 1870 S Front St Ste 200Central Point, OR 97502-2779 · Phone (541) 732-8000

Other Identifiers 3

Medicaid500788403OR

OtherZ327625AZ · Medicare

Medicaid684311AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tracy Jo Drahota Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85051 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.60 typical visit price

range $55.44 – $168.60

Typical copayment $42.15 (range $13.86 – $42.15)

Most-billed visit code 99205

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

ELIZA FABIAN LPC

Counselor (Professional)