Christian Trausch, PSYD

Key facts

NPI

1588091870

Entity type

Individual (NPI type 1)

Primary specialty

Psychologist 103T00000X

License

PSY27219 (CA)

Practice address

3727 Camino Cermenon
Yorba Linda, CA 92886-6213

Phone

(714) 408-8838

NPI assigned

Oct 1, 2013

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 9, 2024.

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1588091870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11401 BLOOMFIELD AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502015",
            "telephone_number": "714-408-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 CAMINO CERMENON",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928866213",
            "telephone_number": "714-408-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAUSCH",
        "first_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-01",
        "last_updated": "2024-07-09",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY27219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Yorba Linda, CA · Psychologist in California