Active NPI
Traci L Jordan-Hirschman, PSY.D., L.S.S.P.
- Clinical Psychologist
- Houston, TX
National Provider Identifier
1205851995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5154
- Practice address
- 3550 McCue Road
1503
Houston, TX 77056 - Phone
- (361) 232-0013
- NPI assigned
- Jul 13, 2006
- 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 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY1177 | NV | |
| Clinical Psychologist | 103TC0700X | 5154 | WI | Primary |
| Psychologist | 103T00000X | 071-021017 | IL | |
| Psychologist | 103T00000X | 0006061 | CO | |
| School Psychologist | 103TS0200X | 30404 | TX | |
| Clinical Psychologist | 103TC0700X | 24625 | TX | |
| Psychologist | 103T00000X | 005597 | AZ | |
| Psychologist | 103T00000X | 6683 | NC | |
| Psychologist | 103T00000X | 0810008471 | VA |
Addresses
Primary practice location
3550 McCue Road
1503
Houston, TX 77056
Mailing address
3550 McCue Road
1503
Houston, TX 77056
Phone (361) 232-0013
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2016 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0006061 | CO | MD | Psychologist |
| 071-021017 | IL | MD | Psychologist |
| PY1177 | NV | MD | Psychologist |
| 0810008471 | VA | MD | Psychologist |
| 5154 | WI | MD | Clinical Psychologist |
| 30404 | TX | MD | Dentist |
| 24625 | TX | MD | General Practice Dentistry |
| 6683 | NC | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Autism Spectrum Therapies of Delaware, LLC | Clinical | Past | Accepting new patients |
| Autism Spectrum Therapies, LLC | Past | Accepting new patients |
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
- Madison, WI
- NPI 1043406978
-
- Behavior Analyst
- Burbank, CA
- NPI 1609194000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766448000000",
"number": "1205851995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3550 MCCUE ROAD",
"address_2": "1503",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77056",
"telephone_number": "361-232-0013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 MCCUE ROAD",
"address_2": "1503",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77056",
"telephone_number": "361-232-0013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JORDAN-HIRSCHMAN",
"first_name": "TRACI",
"middle_name": "L",
"credential": "PSY.D., L.S.S.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2025-12-23",
"certification_date": "2025-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NV",
"license": "PY1177",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WI",
"license": "5154",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IL",
"license": "071-021017",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CO",
"license": "0006061",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "TX",
"license": "30404",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "24625",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "005597",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "6683",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VA",
"license": "0810008471",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.