Individual provider Active NPI

Heidi Trasatti, MA, CAS

  • School Psychologist
  • Baltimore, MD
National Provider Identifier
1407679392
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
30-6661 Issued in MD
Practice address
1425 E Fort Ave
Baltimore, MD 21230-5215
Phone
(410) 371-5042
NPI assigned
Nov 7, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 30-6661 MD Primary

Addresses

Primary practice location

1425 E Fort Ave
Baltimore, MD 21230-5215

Mailing address

1425 E Fort Ave
Baltimore, MD 21230-5215
Phone (410) 396-1503

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
30-6661MDMDSchool Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1407679392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 E FORT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305215",
            "telephone_number": "410-396-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 E FORT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305215",
            "telephone_number": "410-371-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRASATTI",
        "first_name": "HEIDI",
        "name_prefix": "Mrs.",
        "credential": "MA, CAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "MD",
            "license": "30-6661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.