TRACEY SHOEMAKER MA, LP
NPI 1902902323
Psychologist - Clinical in Spring Lake Park, MN

Active since September 15, 2006
1485 81ST AVE NE, SPRING LAKE PARK, MN 55432(763) 780-3036 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tracey Shoemaker Ma, Lp NPPES

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

TRACEY SHOEMAKER MA, LP (NPI 1902902323) is an individual clinical provider in Spring Lake Park, Minnesota, licensed in Minnesota (LP3750) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1902902323
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameTRACEY SHOEMAKERCredential: MA, LP
Location Address1485 81ST AVE NESpring Lake Park, MN 55432-2111
Mailing Address5600 Holiday RdMinnetonka, MN 55345-5417
Sole ProprietorYes
Enumeration DateSeptember 15, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1902902323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in MN · LP3750
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.
1485 81ST AVE NE, Spring Lake Park, MN 55432

Other Identifiers 4

Other108248MN · Ucare
Other61D95SHMN · Blue Cross
OtherHP27880MN · Health Partners
Other62-22415MN · Medica

Other Providers at the Same Location NPPES 11

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

Psychologist
1485 81ST AVE NE
SPRING LAKE PARK, MN 55432
Marriage & Family Therapist
1485 81ST AVE NE
SPRING LAKE PARK, MN 55432
Marriage & Family Therapist
1485 81ST AVE NE
SPRING LAKE PARK, MN 55432
Marriage & Family Therapist
1485 81ST AVE NE, CENTRAL CENTERS FOR FAMILY RESOURCES
SPRING LAKE PARK, MN 55432
Psychologist
1485 81ST AVE NE
SPRING LAKE PARK, MN 55432
Counselor (Mental Health)
1485 81ST AVE NE
SPRING LAKE PARK, MN 55432
Counselor (Mental Health)
1485 81ST AVE NE
SPRING LAKE PARK, MN 55432
Psychologist (Clinical)
1485 81ST AVE NE
SPRING LAKE PARK, MN 55432

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 Shoemaker's NPI number?

The NPI number for Tracey Shoemaker is 1902902323. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Tracey Shoemaker located?

Tracey Shoemaker practices at 1485 81st Ave NE, Spring Lake Park, MN 55432. The listed phone number is (763) 780-3036.

What is Tracey Shoemaker'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 Tracey Shoemaker was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.