TRACY LYNN CHAPMAN PSY.D.
NPI 1952457327
Psychologist - Clinical in San Jose, CA

Q: What is Tracy Chapman's NPI number?

The NPI number for Tracy Chapman is 1952457327. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Q: What is Tracy Chapman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Tracy Chapman enrolled in Medicare?

No. Tracy Chapman has opted out of Medicare through May 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Tracy Chapman was last updated on June 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since January 26, 2007Opted out of Medicare · through May 1, 2027

1302 LINCOLN AVE, SUITE 203, SAN JOSE, CA 95125(408) 650-4770 Get Directions Write a Review

NPPES record last updated: June 27, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tracy Lynn Chapman Psy.d. NPPES

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

TRACY LYNN CHAPMAN PSY.D. (NPI 1952457327) is an individual clinical provider in San Jose, California, licensed in California (PSY18406) and active in the NPI registry since January 2007. She has opted out of Medicare through May 1, 2027.

NPPES Registry Identity

NPI1952457327

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameTRACY LYNN CHAPMANCredential: PSY.D.

Location Address1302 LINCOLN AVE, SUITE 203San Jose, CA 95125-3015

Mailing Address1302 Lincoln Ave, Suite 203San Jose, CA 95125-3015 · (408) 650-4770

Phone(408) 650-4770

Sole ProprietorYes

Enumeration DateJanuary 26, 2007

Last NPPES UpdateJune 27, 2016

✔ NPI 1952457327 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 CA · PSY18406

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.

1302 LINCOLN AVE, San Jose, CA 95125

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tracy Lynn Chapman Psy.d. 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 May 1, 2023 through May 1, 2027.

Opt-Out Effective DateMay 1, 2023

Opt-Out In Effect ThroughMay 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

DR. THERESE MARIE RUSSI-SCHOU I PH.D.

Psychologist

1302 LINCOLN AVE
SAN JOSE, CA 95125

Santa Clara County (408) 471-6700

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 Tracy Chapman's NPI number?

The NPI number for Tracy Chapman is 1952457327. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Tracy Chapman located?

Tracy Chapman practices at 1302 Lincoln Ave Suite 203, San Jose, CA 95125. The listed phone number is (408) 650-4770.

What is Tracy Chapman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Tracy Chapman enrolled in Medicare?

No. Tracy Chapman has opted out of Medicare through May 1, 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 Tracy Chapman was last updated on June 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.