| Dr Tracey Lynne Shepherd, PHD | |
|
13193 Central Avenue, Suite 200, Chino, CA 91710 | |
| (909) 902-9111 | |
| (909) 902-9199 |
| Full Name | Dr Tracey Lynne Shepherd |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 29 Years |
| Location | 13193 Central Avenue, Chino, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255313805 | NPI | - | NPPES |
| PSY165240 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY 16524 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Foothills Psychological Services Inc | 9436157534 | 33 |
| Entity Name | Borrego Community Health Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134144165 PECOS PAC ID: 1759299944 Enrollment ID: O20040122000961 |
| Entity Name | Foothills Psychological Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336121888 PECOS PAC ID: 9436157534 Enrollment ID: O20100414000905 |
| Entity Name | Dap Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306464326 PECOS PAC ID: 6002989522 Enrollment ID: O20100608000193 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Tracey Lynne Shepherd, PHD 13193 Central Avenue, Suite 200, Chino, CA 91710 Ph: (909) 902-9111 | Dr Tracey Lynne Shepherd, PHD 13193 Central Avenue, Suite 200, Chino, CA 91710 Ph: (909) 902-9111 |
Dr. David Chuquimia, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14901 Central Ave, Chino, CA 91710 Phone: 909-597-1821 | |
Dr. Theresa Marie Darrington, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4091 Riverside Dr, Ste 117, Chino, CA 91710 Phone: 909-287-3423 Fax: 909-902-0894 | |
Dr. Teri Renee Clipps, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14901 Central Ave, Chino, CA 91710 Phone: 909-597-1821 | |
Dr. Cathryn Irena Harris, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12530 10th St, Suite D, Chino, CA 91710 Phone: 909-596-3577 Fax: 909-593-6456 | |
Randall Stewat Norris, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14901 Central Ave, Chino, CA 91710 Phone: 909-606-7226 | |
Dr. Jodi Raye Cabrera, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 14901 Central Ave, Chino, CA 91710 Phone: 909-597-1821 | |
Dr. Stephanie Dianne Griffone, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15180 Euclid Ave, Chino, CA 91710 Phone: 909-606-5000 Fax: 909-606-5075 |