Active NPI
Tina Klatt Rosolack Traxler, PH.D.
- Psychologist
- Sacramento, CA
National Provider Identifier
1598871915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 19137
- Practice address
- 5445 Laurel Hills Dr
Sacramento, CA 95841-3105 - Phone
- (916) 609-5100
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 19137 | CA | |
| Psychologist | 103T00000X | PSY 19137 | CA | Primary |
Addresses
Primary practice location
5445 Laurel Hills Dr
Sacramento, CA 95841-3105
Mailing address
5445 Laurel Hills Dr
Sacramento, CA 95841-3105
Phone (916) 609-5100
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19137 | CA | MD | Psychologist |
| PSY 19137 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612224000000",
"number": "1598871915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5445 LAUREL HILLS DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958413105",
"telephone_number": "916-609-5100",
"fax_number": "916-609-5161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5445 LAUREL HILLS DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958413105",
"telephone_number": "916-609-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAXLER",
"first_name": "TINA",
"middle_name": "KLATT ROSOLACK",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2021-02-02",
"certification_date": "2021-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "19137",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 19137",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.