Tracy Ellis, PSYD in Bountiful, UT - Psychologist

Tracy Ellis, PSYD is a Psychologist - Clinical based in Bountiful, Utah. Tracy Ellis is licensed to practice in Utah (license number 10949998-2501) and her current practice location is 70 N Main St Ste 104, Bountiful, Utah. She can be reached at her office (for appointments etc.) via phone at (801) 298-5222.

NPI number for Tracy Ellis is 1992273734 and her current mailing address is 70 N Main St Ste 104, Bountiful, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992273734.

Contact Information

	Tracy Ellis, PSYD
	70 N Main St Ste 104, Bountiful, UT 84010-6115
	(801) 298-5222
	(801) 294-0295

Healthcare Provider's Profile

Full Name	Tracy Ellis
Gender	Female
Speciality	Psychologist - Clinical
Location	70 N Main St Ste 104, Bountiful, Utah
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1992273734
Provider Enumeration Date: 11/09/2018
Last Update Date: 11/09/2018

Medical Identifiers

Medical identifiers for Tracy Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992273734	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	10949998-2501 (Utah)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tracy Ellis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Tracy Ellis, PSYD 70 N Main St Ste 104, Bountiful, UT 84010-6115 Ph: (801) 298-5222	Tracy Ellis, PSYD 70 N Main St Ste 104, Bountiful, UT 84010-6115 Ph: (801) 298-5222

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Psychologist in Bountiful, UT

Dr. Donald Randall, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 630 Medical Dr, Bountiful, UT 84010 Phone: 801-299-2186
Lyndsey Evans, Psychologist Medicare: Medicare Enrolled Practice Location: 415 Medical Dr Ste D101, Bountiful, UT 84010 Phone: 801-683-1062 Fax: 801-295-5537
Dr. Eden Deanne Steffey, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 415 Medical Dr Ste D101, Bountiful, UT 84010 Phone: 801-683-1062 Fax: 801-295-5537
Dr. Jerry Lynn Sandberg, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1470 N Main St Ste B, Bountiful, UT 84010 Phone: 801-299-9026 Fax: 801-299-9026
Fred Brooks, M.ED; ED.S Psychologist Medicare: Not Enrolled in Medicare Practice Location: 415 Medical Dr Ste D101, Bountiful, UT 84010 Phone: 801-683-1062 Fax: 801-295-5537
Quincey Lee Atkin, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 390 N Main St, Bountiful, UT 84010 Phone: 801-294-1000 Fax: 801-292-8369
Tara Sharifan, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 505 S Main St Ste 209, Bountiful, UT 84010 Phone: 385-244-0055

Tracy Ellis, PSYD - Psychologist in Bountiful, UT