TRACEY LICHNER PHD
NPI 1902048820
Psychologist in Minneapolis, MN
About Tracey Lichner Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRACEY LICHNER PHD (NPI 1902048820) is an individual psychologist in Minneapolis, Minnesota, licensed in Pennsylvania (PS016298) and active in the NPI registry since March 2009. She has opted out of Medicare through February 2, 2027.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Tracey Lichner Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 2, 2021 through February 2, 2027.
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 Lichner's NPI number?
The NPI number for Tracey Lichner is 1902048820. It was assigned to this individual provider in the NPPES registry on March 25, 2009.
Where is Tracey Lichner located?
Tracey Lichner practices at 310 4th Ave South Suite 5010, Pmb#93151, Minneapolis, MN 55415. The listed phone number is (612) 444-1769.
What is Tracey Lichner's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Tracey Lichner enrolled in Medicare?
No. Tracey Lichner has opted out of Medicare through February 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Tracey Lichner was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.