DR. TRACY LEWELLEN PSY.D.
NPI 1356741672
Psychologist - Clinical in San Francisco, CA

Active since August 25, 2014Opted out of Medicare · through Apr 1, 2027
388 MARKET ST, SAN FRANCISCO, CA 94111(415) 799-7117 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 27, 2017 (3 updates tracked since 2017).

About Dr. Tracy Lewellen Psy.d. NPPES

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

DR. TRACY LEWELLEN PSY.D. (NPI 1356741672) is an individual clinical provider in San Francisco, California, licensed in California (19376) and active in the NPI registry since August 2014. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer and maintains a secondary practice location in San Francisco.

NPPES Registry Identity

NPI1356741672
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. TRACY LEWELLENCredential: PSY.D.
Location Address388 MARKET STSan Francisco, CA 94111-5311
Mailing Address388 Market St Ste 1010San Francisco, CA 94111-5315 · (415) 799-7117
Sole ProprietorYes
Enumeration DateAugust 25, 2014
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1356741672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · 19376
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.

388 MARKET ST, San Francisco, CA 94111

Secondary Practice Location 1

Location 11421 Broderick StSan Francisco, CA 94115-3304 · Phone (415) 292-1760 ext. 27 · Fax (415) 292-1636

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Tracy Lewellen Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2017 through April 1, 2027.

Opt-Out Effective DateApril 1, 2017
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94111 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
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 4

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

Chiropractor
388 MARKET ST, STE 100
SAN FRANCISCO, CA 94111
Psychoanalyst
388 MARKET ST, SUITE 1010
SAN FRANCISCO, CA 94111
Psychologist (Clinical)
388 MARKET ST, SUITE 1010
SAN FRANCISCO, CA 94111
Chiropractor
388 MARKET ST, SUITE 100
SAN FRANCISCO, CA 94111

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 Lewellen's NPI number?

The NPI number for Tracy Lewellen is 1356741672. It was assigned to this individual provider in the NPPES registry on August 25, 2014.

Where is Tracy Lewellen located?

Tracy Lewellen practices at 388 Market St, San Francisco, CA 94111. The listed phone number is (415) 799-7117.

What is Tracy Lewellen's specialty?

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

Is Tracy Lewellen enrolled in Medicare?

No. Tracy Lewellen has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Tracy Lewellen was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.