Active NPI
Jordyn S Trockman, PSY.D.
- Clinical Psychologist
- Santa Clarita, CA
National Provider Identifier
1124351267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 28433
- Practice address
- 17706 Hillside Way
Santa Clarita, CA 91350-5874 - Phone
- (310) 526-5268
- NPI assigned
- Sep 8, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 28433 | CA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 28433 | CA | |
| Clinical Psychologist | 103TC0700X | 28433 | CA | Primary |
Addresses
Primary practice location
17706 Hillside Way
Santa Clarita, CA 91350-5874
Mailing address
18565 Soledad Canyon Rd # 254
Santa Clarita, CA 91351-3700
Phone (812) 454-7472
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28433 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurovana Medical Group of California PC | Current | Accepting new patients | |
| California Women S Therapy Psychological Services Corporation | Clinical | Current | Accepting new patients |
Locations
2230 W Chapman Ave
Ste 209
Orange, CA 92868
Phone (714) 340-7755
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.
-
- Clinical Psychologist
- Santa Clarita, CA
- NPI 1912670613
-
- Behavioral Neurology & Neuropsychiatry Physician
- Orange, CA
- NPI 1003683970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1124351267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18565 SOLEDAD CANYON RD # 254",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913513700",
"telephone_number": "812-454-7472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17706 HILLSIDE WAY",
"city": "SANTA CLARITA",
"state": "CA",
"postal_code": "913505874",
"telephone_number": "310-526-5268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROCKMAN",
"first_name": "JORDYN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-08",
"last_updated": "2023-03-14",
"certification_date": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "28433",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "28433",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "28433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Clarita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.