Individual provider Active NPI

Traci L Jordan-Hirschman, PSY.D., L.S.S.P.

  • Clinical Psychologist
  • Houston, TX
National Provider Identifier
1205851995
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5154 Issued in WI
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

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
0006061COMDPsychologist
071-021017ILMDPsychologist
PY1177NVMDPsychologist
0810008471VAMDPsychologist
5154WIMDClinical Psychologist
30404TXMDDentist
24625TXMDGeneral Practice Dentistry
6683NCMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Autism Spectrum Therapies of Delaware, LLC Clinical PastSince Jan 14, 2024 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.

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

Verify at the official NPI Registry.