TRACEY Y CHAN
NPI 1508144676
Marriage & Family Therapist in San Mateo, CA
About Tracey Y Chan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACEY Y CHAN (NPI 1508144676) is an individual marriage & family therapist in San Mateo, California, licensed in California (98255) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
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
Tracey Y Chan 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 Reassignment
Medicare enrollment records show Tracey Chan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Los Angeles, CA 90029
- Reassigned Medicare billing, California enrollment
- 104 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN MATEO, CA 94403
SAN MATEO, CA 94403
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 Chan's NPI number?
The NPI number for Tracey Chan is 1508144676. It was assigned to this individual provider in the NPPES registry on July 23, 2011.
Where is Tracey Chan located?
Tracey Chan practices at 2000 Alameda De Las Pulgas Suite 200, San Mateo, CA 94403. The listed phone number is (650) 372-8516.
What is Tracey Chan's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Tracey Chan enrolled in Medicare?
Yes. Tracey Chan 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 organization bills Medicare for Tracey Chan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tracey Chan reassigns Medicare benefits to Silver Lake Psychology Inc. (Los Angeles, CA). The 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 Chan'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 Chan was last updated on May 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Tracey Y Chan · NPI 1508144676
Marriage & Family Therapist provider in San Mateo, California. Individual provider, active in the CMS NPPES registry since July 23, 2011.
## Identity
- **NPI:** 1508144676 (Entity type: Individual)
- **Enumerated:** July 23, 2011
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 98255 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2000 ALAMEDA DE LAS PULGAS, SUITE 200, San Mateo, CA 94403-1269
- **Phone:** (650) 372-8516
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Silver Lake Psychology Inc. (NPI 1932651817, Los Angeles, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** May 7, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1508144676) · Data from the CMS NPPES public registry.