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TRACY DERN PSYCH
NPI 1215121678
Psychologist - Forensic in Coalinga, CA

Active since August 29, 2007
24511 W JAYNE AVE, COALINGA, CA 93210(559) 935-4301(559) 935-7118 Get Directions Write a Review

NPPES record last updated: August 29, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tracy Dern Psych NPPES

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

TRACY DERN PSYCH (NPI 1215121678) is an individual forensic provider in Coalinga, California, licensed in California (PSY20534) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1215121678
Entity TypeIndividualFemale
Primary Taxonomy103TF0200X
Provider Legal NameTRACY DERNCredential: PSYCH
Location Address24511 W JAYNE AVECoalinga, CA 93210-9503
Mailing Address1600 9th St, Room 205 Mailstop 2-3Sacramento, CA 95814-6404 · (916) 654-2431 · Fax (916) 654-3186
Phone(559) 935-4301
Fax(559) 935-7118
Sole ProprietorYes
Enumeration DateAugust 29, 2007
✔ NPI 1215121678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ForensicBehavioral Health & Social Service Providers
Taxonomy Code103TF0200X
License✔ Licensed in CA · PSY20534
Definition
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
24511 W JAYNE AVE, Coalinga, CA 93210
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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.

DR. DENISE LOUISE FERGUSON PSY.D.
Psychologist
24511 W JAYNE AVE
COALINGA, CA 93210
Fresno County (599) 934-3403
DR. LINDSAY MARIE CUNNINGHAM PSY.D., M.A.
Psychologist (Clinical)
24511 W JAYNE AVE
COALINGA, CA 93210
Fresno County (559) 934-8151
TRICIA BUSBY
Psychologist (Clinical)
24511 W JAYNE AVE
COALINGA, CA 93210
Fresno County (559) 903-7123
ETTA-LEA OSTERMAN-PEREZ PHD
Psychologist
24511 W JAYNE AVE
COALINGA, CA 93210
Fresno County (559) 935-4301
DR. MELANIE SUE BAKER PHARMD
Pharmacist
24511 W JAYNE AVE
COALINGA, CA 93210
Fresno County (559) 934-8069
DR. RICHARD ALTON STARRETT PSYCHOLOGIST
Psychologist
24511 W JAYNE AVE, BOX 5000
COALINGA, CA 93210
Fresno County (559) 934-3099
DR. ALYNNA PENA PHD
Psychologist
24511 W JAYNE AVE
COALINGA, CA 93210
Fresno County (559) 934-8638
DEPARTMENT OF STATE HOSPITALS
Psychiatric Hospital
24511 W JAYNE AVE
COALINGA, CA 93210
Fresno County (559) 935-4300

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 Dern's NPI number?

The NPI number for Tracy Dern is 1215121678. It was assigned to this individual provider in the NPPES registry on August 29, 2007.

Where is Tracy Dern located?

Tracy Dern practices at 24511 W Jayne Ave, Coalinga, CA 93210. The listed phone number is (559) 935-4301.

What is Tracy Dern's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Forensic, with taxonomy code 103TF0200X.

When was this NPI record last updated?

The NPPES record for Tracy Dern was last updated on August 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.