Provider Demographics
NPI:1245430677
Name:MCCARTHY, TRACY H (MD)
Entity Type:Individual
Prefix:DR
First Name:TRACY
Middle Name:H
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 4428
Mailing Address - Street 2:
Mailing Address - City:DAVIS
Mailing Address - State:CA
Mailing Address - Zip Code:95617-4428
Mailing Address - Country:US
Mailing Address - Phone:916-851-2205
Mailing Address - Fax:916-414-8607
Practice Address - Street 1:1520 E. COVELL BLVD STE B5 #433
Practice Address - Street 2:
Practice Address - City:DAVIS
Practice Address - State:CA
Practice Address - Zip Code:95616-1366
Practice Address - Country:US
Practice Address - Phone:916-581-2205
Practice Address - Fax:916-414-8607
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1022802084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry