Look up the most recent NPI and PECOS records

Tracy Chovanec

Psychologist

Behavioral Health & Social Service Providers

8253 White Oak Ave, Rancho Cucamonga, CA 91730-7671

PECOS Enrollment

Based on the most recent information from CMS, provider Tracy Chovanec does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1215339890
Provider Type
Individual
Full Name
Chovanec, Tracy
Title
Dr.
Credential
PSY.D.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/25/2014
Last Updated
3/11/2015

Contact Information

Practice Location

8253 White Oak Ave, Rancho Cucamonga, CA 91730-7671

(909) 285-4725

(909) 987-0993

Mailing Location

8253 White Oak Ave, Rancho Cucamonga, CA 91730-7671

(909) 285-4725

(909) 987-0993

Provider Taxonomies

Code	Description	License
Code 103T00000X Primary	Description Psychologist Behavioral Health & Social Service Providers	License PSY26690 California

Provider Identifiers

ID	Description	Issuer
ID PSY26690	Description Other	Issuer PSYCHOLOGIST LICENSE California

Tracy Chovanec

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Goffman, Jerry M

Adhami, Sepideh

Lockhart-Pettaway, Stefanie

Hudspeth, Nina Christine

Ta, Minhdan Thuy

Gunn Psychological Services, Inc.

Soriano, Marcel

Wysocki, Steve Robert

Chacon, Vallerie

Swan, June Angela