Individual provider Active NPI

Tracy Tran, ED.S, PPS, APCC

  • School Psychologist
  • Anaheim, CA
National Provider Identifier
1073341616
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
200111173 Issued in CA
Practice address
501 N Crescent Way
Anaheim, CA 92801-5401
Phone
(714) 999-3511
NPI assigned
Jul 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 200111173 CA Primary

Addresses

Primary practice location

501 N Crescent Way
Anaheim, CA 92801-5401

Mailing address

501 N Crescent Way
Anaheim, CA 92801-5401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
200111173CAMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Anaheim Union High School District CurrentSince Jul 28, 2024 Accepting new patients
Anaheim Union High School District PastSince Jul 28, 2024 Accepting new patients

Locations

501 N Crescent Way
Anaheim, CA 92801
Phone (714) 220-3006

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1073341616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N CRESCENT WAY",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N CRESCENT WAY",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015401",
            "telephone_number": "714-999-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "TRACY",
        "credential": "ED.S, PPS, APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "200111173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.