DR. TRACY ADELL NEAL-WALDEN PH.D.
NPI 1962612762
Psychologist - Health in Edwards, CA

Active since May 23, 2007PECOS Enrolled
30 NIGHTINGALE RD, MDOS/CC, EDWARDS, CA 93524(661) 277-2183 Get Directions Write a Review

NPPES record last updated: February 16, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Tracy Adell Neal-walden Ph.d. NPPES

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

DR. TRACY ADELL NEAL-WALDEN PH.D. (NPI 1962612762) is an individual health provider in Edwards, California, licensed in Mississippi (35-580) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962612762
Entity TypeIndividualFemale
Primary Taxonomy103TH0004X
Provider Legal NameDR. TRACY ADELL NEAL-WALDENCredential: PH.D.
Location Address30 NIGHTINGALE RD, MDOS/CCEdwards, CA 93524-0001
Mailing Address1256 Lupine CirEdwards, CA 93523-2416 · (210) 324-7398
Sole ProprietorNo
Enumeration DateMay 23, 2007
Last NPPES UpdateFebruary 16, 2012
NPI 1962612762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · HealthBehavioral Health & Social Service Providers
Taxonomy Code103TH0004X
License Licensed in MS · 35-580
Definition
A psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:
30 NIGHTINGALE RD, Edwards, CA 93524

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Tracy Adell Neal-walden Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 NPPES 13

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

Family Medicine
30 NIGHTINGALE RD, 412MDOS/SGOP FAMILY HEALTH CLINIC
EDWARDS AFB, CA 93524
Physician Assistant
30 NIGHTINGALE RD
EDWARDS AFB, CA 93524
Pharmacist
30 NIGHTINGALE RD
EDWARDS AFB, CA 93524
Physician Assistant
30 NIGHTINGALE RD
EDWARDS AFB, CA 93524
Nurse Practitioner (Women's Health)
30 NIGHTINGALE RD
EDWARDS AFB, CA 93524
Dentist
30 NIGHTINGALE RD
EDWARDS AFB, CA 93524
Military/U.S. Coast Guard Pharmacy
30 NIGHTINGALE RD, BLDG 5525
EDWARDS AFB, CA 93524
Social Worker (Clinical)
30 NIGHTINGALE RD
EDWARDS, CA 93524

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 Neal-walden's NPI number?

The NPI number for Tracy Neal-walden is 1962612762. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Tracy Neal-walden located?

Tracy Neal-walden practices at 30 Nightingale Rd Mdos/Cc, Edwards, CA 93524. The listed phone number is (661) 277-2183.

What is Tracy Neal-walden's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health, with taxonomy code 103TH0004X.

Is Tracy Neal-walden enrolled in Medicare?

Yes. Tracy Neal-walden is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tracy Neal-walden was last updated on February 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.