Individual provider Active NPI

Trang Ngoc Leete

  • Clinical Psychologist
  • Huntington Beach, CA
National Provider Identifier
1881646834
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY19273 Issued in CA
Practice address
17612 Beach Blvd
Suite 19
Huntington Beach, CA 92647-6873
Phone
(714) 369-0932
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY19273 CA Primary

Addresses

Primary practice location

17612 Beach Blvd
Suite 19
Huntington Beach, CA 92647-6873

Mailing address

17612 Beach Blvd
Suite 19
Huntington Beach, CA 92647-6820
Phone (714) 369-0932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2018 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY19273CAMDClinical Psychologist
19273CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1881646834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17612 BEACH BLVD",
            "address_2": "SUITE 19",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476820",
            "telephone_number": "714-369-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17612 BEACH BLVD",
            "address_2": "SUITE 19",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476873",
            "telephone_number": "714-369-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEETE",
        "first_name": "TRANG",
        "middle_name": "NGOC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.