Active NPI
Jasara Trunzo
- School Psychologist
- Milford, DE
National Provider Identifier
1770002115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 89842
- Practice address
- 906 Lakeview Ave
Milford, DE 19963-1732 - Phone
- (302) 422-1600
- NPI assigned
- Sep 18, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 89842 | DE | Primary |
Addresses
Primary practice location
906 Lakeview Ave
Milford, DE 19963-1732
Mailing address
906 Lakeview Ave
Milford, DE 19963-1732
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89842 | Other | DE | STATE OF DELAWARE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 89842 | DE | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Delaware | 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 and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Milford, DE
- NPI 1437293354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505692800000",
"number": "1770002115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "906 LAKEVIEW AVE",
"city": "MILFORD",
"state": "DE",
"postal_code": "199631732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "906 LAKEVIEW AVE",
"city": "MILFORD",
"state": "DE",
"postal_code": "199631732",
"telephone_number": "302-422-1600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUNZO",
"first_name": "JASARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-18",
"last_updated": "2017-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "DE",
"license": "89842",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF DELAWARE",
"identifier": "89842",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milford, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.