Lori Tracie Williams, PSYD in Northridge, CA - Medicare Clinical Psychologist Provider

Lori Tracie Williams, PSYD is a medicare enrolled "Psychologist" provider in Northridge, California. She graduated from medical school in 2015 and has 11 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Santa Monica Therapy A Psychology Corporation and her current practice location is 9227 Reseda Blvd # 131, Northridge, California. You can reach out to her office (for appointments etc.) via phone at (310) 853-3629.

Lori Tracie Williams is licensed to practice in California (license number PSY29519) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093023079.

Contact Information

	Lori Tracie Williams, PSYD
	9227 Reseda Blvd # 131, Northridge, CA 91324-3137
	(310) 853-3629
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lori Tracie Williams
Gender	Female
Speciality	Clinical Psychologist
Experience	11 Years
Location	9227 Reseda Blvd # 131, Northridge, 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.

Medical Education and Training:

Lori Tracie Williams graduated from medical school in 2015

NPI Data:

NPI Number: 1093023079
Provider Enumeration Date: 09/23/2010
Last Update Date: 06/26/2026

Medicare PECOS Information:

PECOS PAC ID: 7315357621
Enrollment ID: I20201027002532

Medical Identifiers

Medical identifiers for Lori Tracie Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093023079	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY29519 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Santa Monica Therapy A Psychology Corporation	7012258346	2

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lori Tracie Williams allows following entities to bill medicare on her behalf.

Entity Name	Santa Monica Therapy A Psychology Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962967372 PECOS PAC ID: 7012258346 Enrollment ID: O20190413000167

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. Lori Tracie Williams is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Lori Tracie Williams, PSYD 9227 Reseda Blvd # 131, Northridge, CA 91324-3137 Ph: (310) 853-3629	Lori Tracie Williams, PSYD 9227 Reseda Blvd # 131, Northridge, CA 91324-3137 Ph: (310) 853-3629

Reviews and Comments

Psychologist in Northridge, CA

Dr. Peter John Adler, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17075 Devonshire St Ste 204, Northridge, CA 91325 Phone: 310-284-4893
Dr. Larry E Gaines, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 19449 Singing Hills Dr, Northridge, CA 91326 Phone: 818-360-1514
Dr. Sherri A.c. Tanferani, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 8860 Corbin Ave, #175, Northridge, CA 91324 Phone: 818-993-5730
Anett Abrahamian Assilian, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 18917 Nordhoff St Ste 18, Northridge, CA 91324 Phone: 818-419-9341
Dr. Michael Robert Pines, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9010 Reseda Blvd, Suite 217, Northridge, CA 91324 Phone: 818-983-6359
Dr. Stacey Ann Cohen-maitre, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 18421 Sandringham Ct, Northridge, CA 91326 Phone: 818-987-8320 Fax: 818-832-1050

Lori Tracie Williams, PSYD - Medicare Psychologist in Northridge, CA