Organization Active NPI

Tina Truax, LLC

  • Psychologist
  • Rochester, MN
National Provider Identifier
1609698430
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
TINA TRUAX, LLC
Practice address
1130 1/2 7TH St NW Ste 206
Rochester, MN 55901-2994
Phone
(507) 203-3464
NPI assigned
Oct 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Authorized official

Name
Tina Truax, MANPI 1336344019
Title
Licensed Psychologist
Phone
(507) 203-3464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

1130 1/2 7TH St NW Ste 206
Rochester, MN 55901-2994

Mailing address

1130 1/2 7TH St NW Ste 206
Rochester, MN 55901-2994
Phone (507) 203-3464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250102001375 MN Part B Supplier - Clinic/Group Practice 8729515747 Receives reassigned benefits from 1 practitioner
Practice locations: Rochester, MN

National Provider Directory

National Provider Directory

Locations

1610 14th St NW
Ste 204
Rochester, MN 55901
Phone (507) 288-4544

1130 7th St NW
Ste 206
Rochester, MN 55901
Phone (507) 203-3463

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737417600000",
    "number": "1609698430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 1/2 7TH ST NW STE 206",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012994",
            "telephone_number": "507-203-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 1/2 7TH ST NW STE 206",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012994",
            "telephone_number": "507-203-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA TRUAX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-31",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A",
        "authorized_official_last_name": "TRUAX",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "507-203-3464",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.