MRS. TRACI LEE HACKMANN BATES MA LP
NPI 1750491296
Psychologist in Eagan, MN

Active since August 30, 2006PECOS Enrolled
3920 SIBLEY MEMORIAL HWY, EAGAN, MN 55122(651) 681-0616(651) 681-0747 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Traci Lee Hackmann Bates Ma Lp NPPES

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

MRS. TRACI LEE HACKMANN BATES MA LP (NPI 1750491296) is an individual psychologist in Eagan, Minnesota, licensed in Minnesota (LP3650) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1750491296
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMRS. TRACI LEE HACKMANN BATESCredential: MA LP
Location Address3920 SIBLEY MEMORIAL HWYEagan, MN 55122-1414
Mailing Address4481 Pondview Trl SePrior Lake, MN 55372-2987 · (952) 440-1578 · Fax (651) 994-7440
Fax(651) 681-0747
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1750491296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP3650
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

3920 SIBLEY MEMORIAL HWY, Eagan, MN 55122

Other Names 1

Professional Name (2)Ms. Traci Lee Hackmann Ma Lp

Other Identifiers 4

OtherHP24216MN · Healthpartners
Other123175MN · Ucare
Other62-64083MN · Ubh
Other454T7HAMN · Blue Cross Blue Shield

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Traci Lee Hackmann Bates Ma Lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345748836
PECOS Enrollment IDI20250813002343
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.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Counselor (Professional)
3920 SIBLEY MEMORIAL HWY
EAGAN, MN 55122

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750491296, enumerated as an "individual" on August 30, 2006.

The provider is located at 3920 SIBLEY MEMORIAL HWY EAGAN, MN 55122 and the phone number is (651) 681-0616.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: HealthPartners, Medicare, Medicaid and Blue Cross. Please consult your insurance carrier or call the provider to verify.