DR. TRACIE MERTZ MCCONNELL PHD NPI 1003968116

NPI Information

  • NPI: 1003968116
  • Provider Name: DR. TRACIE MERTZ MCCONNELL, PHD
  • Classification: Psychologist - 103T00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 651 S MAIN ST
    GREENVILLE, SC
    ZIP 29601
  • Phone: (864) 241-2600

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NPI Details

DR. Tracie Mertz Mcconnell, PHD is a psychologist in Greenville, SC with 29 years of experience. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. DR. Tracie Mertz Mcconnell, PHD NPI is 1003968116. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

651 S MAIN ST
GREENVILLE, SC
ZIP 29601-504
Phone: (864) 241-2600
Fax: (864) 454-1130

The NPI 1003968116 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of psychological or neuropsychological test by technician, each additional 30 minutes (HCPCS:96139)
  • Administration of psychological or neuropsychological test, each additional 30 minutes (HCPCS:96137)
  • Evaluation of neuropsychological test, first hour (HCPCS:96132)
  • Exam of neurobehavioral status, first hour (HCPCS:96116)
  • Administration of psychological or neuropsychological test by technician, first 30 minutes (HCPCS:96138)
  • Evaluation of neuropsychological test, each additional hour (HCPCS:96133)
  • Administration of psychological or neuropsychological test, first 30 minutes (HCPCS:96136)

The enumeration date for this NPI number is 1/17/2007 and was last updated on 7/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103G00000XClinical Neuropsychologist686SOUTH CAROLINANo
2103T00000XPsychologist686SOUTH CAROLINAYes
3103TA0700XPsychologistAdult Development & Aging686SOUTH CAROLINANo
4103TB0200XPsychologistCognitive & Behavioral686SOUTH CAROLINANo
5103TC0700XPsychologistClinical686SOUTH CAROLINANo
6103TH0100XPsychologistHealth Service686SOUTH CAROLINANo
7103TP2701XPsychologistGroup Psychotherapy686SOUTH CAROLINANo
8103TR0400XPsychologistRehabilitation686SOUTH CAROLINANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1680016185OTHERSOUTH CAROLINAMEDICARE RAILROAD
2PS0262MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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