Trine Lise Ditlefsen, PPS SCHOOLPSYCHOLOGY

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

240117259 Issued in CA

Practice address

223 N Jackson St
Glendale, CA 91206-4380

Phone

(818) 241-3111

NPI assigned

Aug 19, 2026

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Glendale Unified School District

  • Local Education Agency (LEA)
  • Glendale, CA
  • NPI 1497897292
  NPD (past)

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

{
    "created_epoch": "1787097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1841105178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 BEL AIRE DR",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N JACKSON ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064380",
            "telephone_number": "818-241-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITLEFSEN",
        "first_name": "TRINE LISE",
        "credential": "PPS SCHOOLPSYCHOLOGY",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "240117259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• School Psychologist in Glendale, CA
• Providers in Glendale, CA by specialty
• School Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.