DR. TRACEY LEE ALYSSON PHD
NPI 1427109289
Psychologist - Clinical in Tannersville, PA

Active since January 16, 2007PECOS EnrolledAccepts Medicare Assignment
2937 ROUTE 611, TANNERSVILLE, PA 18372(570) 269-5581 Get Directions Write a Review

NPPES record last updated: November 9, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Tracey Lee Alysson Phd NPPES

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

DR. TRACEY LEE ALYSSON PHD (NPI 1427109289) is an individual clinical provider in Tannersville, Pennsylvania, licensed in Pennsylvania (PS017890) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1427109289
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. TRACEY LEE ALYSSONCredential: PHD
Location Address2937 ROUTE 611Tannersville, PA 18372-9990
Mailing Address3021 Valley View DrBangor, PA 18013-6130 · (603) 313-2517
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateJanuary 16, 2007
Last NPPES UpdateNovember 9, 2015
NPI 1427109289 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 PA · PS017890 Licensed in MA · 3193 Licensed in NH · NH260
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.
2937 ROUTE 611, Tannersville, PA 18372

Other Identifiers 2

Other0602230YONHOINH · Anthem
Medicare UPINNH2230

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Tracey Lee Alysson 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.

PECOS PAC ID9133178858
PECOS Enrollment IDI20050119000891
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 18372 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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

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

Community/Behavioral Health
2937 ROUTE 611
TANNERSVILLE, PA 18372

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 Alysson's NPI number?

The NPI number for Tracey Alysson is 1427109289. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Tracey Alysson located?

Tracey Alysson practices at 2937 Route 611, Tannersville, PA 18372. The listed phone number is (570) 269-5581.

What is Tracey Alysson's specialty?

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

Is Tracey Alysson enrolled in Medicare?

Yes. Tracey Alysson 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.

When was this NPI record last updated?

The NPPES record for Tracey Alysson was last updated on November 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.