Active NPI
Jennifer Lynn Trachtenberg, PH.D.
- Clinical Psychologist
- Norwood, MA
National Provider Identifier
1750022133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 8849
- Practice address
- 1500 Boston Providence Tpke Ste 32
Norwood, MA 02062-4641 - Phone
- (401) 206-0304
- NPI assigned
- Apr 7, 2022
- Last updated
- Jul 28, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 8849 | MA | Primary |
Addresses
Primary practice location
1500 Boston Providence Tpke Ste 32
Norwood, MA 02062-4641
Mailing address
1500 Boston Providence Tpke Ste 32
Norwood, MA 02062-4641
Phone (401) 206-0304
Other practice location 1
1275 Wampanoag Trl Ste 3C
Riverside, RI 02915-1217
Phone (401) 206-0304
Other practice location 2
535 Centerville Rd Ste 301
Warwick, RI 02886-4376
Phone (401) 206-0304
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 |
|---|---|---|---|
| 8849 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Braver Medical, PLLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Braver
- Child & Adolescent Psychiatry Physician
- Riverside, RI
- NPI 1972265536
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753660800000",
"number": "1750022133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 BOSTON PROVIDENCE TPKE STE 32",
"city": "NORWOOD",
"state": "MA",
"postal_code": "020624641",
"telephone_number": "401-206-0304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 BOSTON PROVIDENCE TPKE STE 32",
"city": "NORWOOD",
"state": "MA",
"postal_code": "020624641",
"telephone_number": "401-206-0304"
}
],
"practiceLocations": [
{
"address_1": "1275 Wampanoag Trl Ste 3C",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "RI",
"postal_code": "029151217",
"country_code": "US",
"telephone_number": "401-206-0304",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "535 Centerville Rd Ste 301",
"address_purpose": "LOCATION",
"city": "Warwick",
"state": "RI",
"postal_code": "028864376",
"country_code": "US",
"telephone_number": "401-206-0304",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRACHTENBERG",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-07",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "8849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwood, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.