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DR. MILDRED MEDINA PSYD
NPI 1386808194
Psychologist - Clinical in Tracy, CA

Active since July 11, 2008
23500 KASSON RD, TRACY, CA 95376(209) 835-4141(209) 830-3974 Get Directions Write a Review

NPPES record last updated: November 2, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mildred Medina Psyd NPPES

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

DR. MILDRED MEDINA PSYD (NPI 1386808194) is an individual clinical provider in Tracy, California, licensed in Washington (PY 60037300) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1386808194
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MILDRED MEDINACredential: PSYD
Location Address23500 KASSON RDTracy, CA 95376
Mailing Address5203 18th Ave NeSeattle, WA 98105-3409
Phone(209) 835-4141
Fax(209) 830-3974
Sole ProprietorYes
Enumeration DateJuly 11, 2008
Last NPPES UpdateNovember 2, 2009
✔ NPI 1386808194 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 WA · PY 60037300✔ Licensed in CA · PSY21221
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.
23500 KASSON RD, Tracy, CA 95376
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Other Providers at the Same Location NPPES 5

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

DR. PAUL MALARIK JR. M.D.
Psychiatry & Neurology (Psychiatry)
23500 KASSON RD, MENTAL HEALTH
TRACY, CA 95376
San Joaquin County (209) 835-4141
LISA MICHELLE CLARK-BARLOW FNP
Nurse Practitioner (Family)
23500 KASSON RD
TRACY, CA 95376
San Joaquin County (209) 835-4141
DR. VINCENT TRAN PHARM.D.
Pharmacist
23500 KASSON RD, ROOM 106 (PHARMACY)
TRACY, CA 95376
San Joaquin County (209) 835-4141
PASHTOON H SAFI PA-C
Physician Assistant (Medical)
23500 KASSON RD
TRACY, CA 95376
San Joaquin County (209) 835-4141
DR. MIMI NGOC VO PHARM.D.
Pharmacist
23500 KASSON RD
TRACY, CA 95376
San Joaquin County (209) 835-4141

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 Mildred Medina's NPI number?

The NPI number for Mildred Medina is 1386808194. It was assigned to this individual provider in the NPPES registry on July 11, 2008.

Where is Mildred Medina located?

Mildred Medina practices at 23500 Kasson Rd, Tracy, CA 95376. The listed phone number is (209) 835-4141.

What is Mildred Medina's specialty?

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

When was this NPI record last updated?

The NPPES record for Mildred Medina was last updated on November 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.