Organization Active NPI

Traci Time Psychotherapy

  • Clinical Psychologist
  • Woodland Hills, CA
National Provider Identifier
1669944815
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
TRACI TIME PSYCHOTHERAPY
Practice address
22900 Ventura Blvd Ste 260
Woodland Hills, CA 91364-5803
Phone
(818) 650-2029
NPI assigned
Dec 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Authorized official

Name
Traci Time, PSY.D.NPI 1376879874
Title
Psychologist
Phone
(818) 650-2029

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

22900 Ventura Blvd Ste 260
Woodland Hills, CA 91364-5803

Mailing address

22900 Ventura Blvd Ste 260
Woodland Hills, CA 91364-5803
Phone (818) 650-2029

Other names 1

  • Traci Time Psychotherapy Other name

National Provider Directory

National Provider Directory

Locations

22900 Ventura Blvd
Ste 260
Woodland Hills, CA 91364
Phone (818) 224-3320

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": "1545955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561507200000",
    "number": "1669944815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22900 VENTURA BLVD STE 260",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913645803",
            "telephone_number": "818-650-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22900 VENTURA BLVD STE 260",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913645803",
            "telephone_number": "818-650-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACI TIME PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-28",
        "last_updated": "2019-06-26",
        "status": "A",
        "authorized_official_last_name": "TIME",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "818-650-2029",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Traci Time Psychotherapy",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Traci Time Psychotherapy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.