DR. TRACEY LYNNE SHEPHERD PHD
NPI 1255313805
Psychologist in Chino, CA
About Dr. Tracey Lynne Shepherd Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TRACEY LYNNE SHEPHERD PHD (NPI 1255313805) is an individual psychologist in Chino, California, licensed in California (PSY 16524) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Tracey Lynne Shepherd Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Tracey Shepherd reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Upland, CA 91786
- Reassigned Medicare billing, California enrollment
- 76 clinicians in this Medicare group
San Jacinto, CA 92583
- Reassigned Medicare billing, California enrollment
- 93 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHINO, CA 91710
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 Tracey Shepherd's NPI number?
The NPI number for Tracey Shepherd is 1255313805. It was assigned to this individual provider in the NPPES registry on November 18, 2005.
Where is Tracey Shepherd located?
Tracey Shepherd practices at 13193 Central Avenue Suite 200, Chino, CA 91710. The listed phone number is (909) 902-9111.
What is Tracey Shepherd's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Tracey Shepherd enrolled in Medicare?
Yes. Tracey Shepherd is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Tracey Shepherd's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tracey Shepherd reassigns Medicare benefits to 2 organizations: Foothills Psychological Services, Inc. (Upland, CA) and Dap Health, Inc. (San Jacinto, CA). Each 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 Tracey Shepherd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tracey Shepherd was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.