Active NPI
Jennifer Traughber, PSYD
- Clinical Psychologist
- Metairie, LA
National Provider Identifier
1144382391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 903
- Practice address
- 3350 Ridgelake Dr
Suite 200
Metairie, LA 70002-3836 - Phone
- (504) 845-1178
- NPI assigned
- Dec 14, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 903 | LA | Primary |
Addresses
Primary practice location
3350 Ridgelake Dr
Suite 200
Metairie, LA 70002-3836
Mailing address
3350 Ridgelake Dr
Suite 200
Metairie, LA 70002-3836
Phone (504) 845-1178
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050923000014 | LA | Practitioner - Clinical Psychologist | 9436183050 | Practice locations: Metairie, LA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 903 | LA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144382391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3350 RIDGELAKE DR",
"address_2": "SUITE 200",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700023836",
"telephone_number": "504-845-1178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 RIDGELAKE DR",
"address_2": "SUITE 200",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700023836",
"telephone_number": "504-845-1178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAUGHBER",
"first_name": "JENNIFER",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "LA",
"license": "903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.