Jamie Trachtenberg, LCSW, ACHP-SW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW86942 Issued in CA

Practice address

471 E Tahquitz Canyon Way
Palm Springs, CA 92262-6620

Phone

(917) 696-0060

NPI assigned

Mar 6, 2007

Last updated

Feb 9, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, NY2 enrollments

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.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Blue Moon Senior Counseling of California LLCGroup PAC ID 9335360981, 79 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jamie.trachtenberg.p2@direct.mydohc.nextgenshare.com
• Direct secure messaging: jamie.trachtenberg.p5@direct.mydohc.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blue Moon Senior Counseling of California LLC

  • Clinical Social Worker
  • Plainfield, IL
  • NPI 1447678990

  CA

  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Clinical

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  NY

  Medicare reassignment
• Marvin Behavioral Health Ca PC

  • Psychologist
  • Marina del Rey, CA
  • NPI 1164002846

  Clinical

  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549670400000",
    "number": "1528198231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 E TAHQUITZ CANYON WAY STE 222",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626620",
            "telephone_number": "917-696-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 E TAHQUITZ CANYON WAY",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922626620",
            "telephone_number": "917-696-0060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "68 N 5th St",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "NY",
            "postal_code": "125341722",
            "country_code": "US",
            "telephone_number": "917-696-0060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38812 Paradise Way",
            "address_purpose": "LOCATION",
            "city": "Cathedral City",
            "state": "CA",
            "postal_code": "922342242",
            "country_code": "US",
            "telephone_number": "917-696-0060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRACHTENBERG",
        "first_name": "JAMIE",
        "name_prefix": "Ms.",
        "credential": "LCSW, ACHP-SW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2019-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083924-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW86942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Danielle Torres, B.A
• Total Health Medical of the Desert a Medical Corporation
• Total Health of the Desert a Medical Corporation
• Jose Tovar, N.P.
• Deborah Jane Townson, LCSW
• Andy Tran, MD
• Brandon Tran, PHARMD
• Bryant Quoc Tran, DO
• Cynthia Boi-Ngoc Thi Tran, PHARM.D.
• Diem-Thuy Tran

• Clinical Social Worker in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.