Individual provider Active NPI

Susan Kay Trafton, ED.D.

  • Psychologist
  • Milwaukee, WI
National Provider Identifier
1295832897
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1764-057 Issued in WI
Practice address
2169 N 53Rd St
Milwaukee, WI 53208-1008
Phone
(414) 305-7496
Fax
(262) 364-2424
NPI assigned
Sep 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1764-057 WI Primary

Addresses

Primary practice location

2169 N 53Rd St
Milwaukee, WI 53208-1008

Mailing address

PO Box 99
Cascade, WI 53011-0099
Phone (414) 462-8979

Other identifiers 1

IdentifierTypeStateIssuer
40964700MedicaidWI

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
1764-057WIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Clinic Psychologist PastSince Jan 1, 2011 Accepting new patients

Organizations & group practices 1

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": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1295832897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "CASCADE",
            "state": "WI",
            "postal_code": "530110099",
            "telephone_number": "414-462-8979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2169 N 53RD ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532081008",
            "telephone_number": "414-305-7496",
            "fax_number": "262-364-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAFTON",
        "first_name": "SUSAN",
        "middle_name": "KAY",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-19",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "1764-057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40964700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.