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KENDRA TRACY PH.D.
NPI 1548543382
Psychologist - Clinical in Loma Linda, CA

Active since September 27, 2011
11201 BENTON ST, LOMA LINDA, CA 92357(909) 825-7084 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Kendra Tracy Ph.d. NPPES

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

KENDRA TRACY PH.D. (NPI 1548543382) is an individual clinical provider in Loma Linda, California, licensed in California (PSY28525) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1548543382
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKENDRA TRACYCredential: PH.D.
Location Address11201 BENTON STLoma Linda, CA 92357-1000
Mailing Address11201 Benton StLoma Linda, CA 92357-1000 · (909) 825-7084
Phone(909) 825-7084
Sole ProprietorNo
Enumeration DateSeptember 27, 2011
Last NPPES UpdateApril 8, 2025
NPPES CertifiedApril 8, 2025
✔ NPI 1548543382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY28525
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.
Also ListedPsychologistTaxonomy 103T00000X
11201 BENTON ST, Loma Linda, CA 92357
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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.

DR. ARTHUR CHUNG-LIUNG CHANG M.D.
Radiology (Diagnostic Radiology)
11201 BENTON ST, VA LOMA LINDA HEALTHCARE SYSTEM - DEPT OF RADIOLOGY
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
JUNGMI LEE LCSW
Social Worker (Clinical)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
PETRU PAPACOSTEA
Internal Medicine
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
PATTY J DALLMEIER RRT
Respiratory Therapist, Registered (Pulmonary Diagnostics)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
PATTY BEAVER LSW
Counselor (Mental Health)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 674-2794
DR. KRYSTAL GREGG PSYD
Psychologist (Clinical)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
HOLLY CORNEJO FNP-C
Nurse Practitioner (Family)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 825-7084
MELISSA SOLOMON-JACKSON
Registered Nurse (Emergency)
11201 BENTON ST
LOMA LINDA, CA 92357
San Bernardino County (909) 805-7084

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 Kendra Tracy's NPI number?

The NPI number for Kendra Tracy is 1548543382. It was assigned to this individual provider in the NPPES registry on September 27, 2011.

Where is Kendra Tracy located?

Kendra Tracy practices at 11201 Benton St, Loma Linda, CA 92357. The listed phone number is (909) 825-7084.

What is Kendra Tracy'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 Kendra Tracy was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.