NPIMap

Organization Active NPI

California Women S Therapy Psychological Services Corporation

Doing business as California Women's Therapy

  • Clinical Psychologist
  • Santa Clarita, CA
National Provider Identifier
1912670613
Registry record updated Jul 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
CALIFORNIA WOMEN S THERAPY PSYCHOLOGICAL SERVICES CORPORATION
Doing business as
California Women's Therapy
Practice address
17706 Hillside Way
Santa Clarita, CA 91350-5874
Phone
(812) 454-7472
NPI assigned
Jul 28, 2021
Last updated
Jul 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2023

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

Authorized official

Name
Dr. Jordyn Sater Trockman, PSY.D.NPI 1124351267
Title
Owner
Phone
(310) 526-5268

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU
Clinical Psychologist 103TC0700X NU Primary
Counseling Psychologist 103TC1900X NU

Addresses

Primary practice location

17706 Hillside Way
Santa Clarita, CA 91350-5874

Mailing address

17706 Hillside Way
Santa Clarita, CA 91350-5874
Phone (812) 454-7472

Other names 1

  • California Women's Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230802003795 CA Part B Supplier - Clinic/Group Practice 3375904659 Receives reassigned benefits from 3 practitioners
Practice locations: Santa Clarita, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688169600000",
    "number": "1912670613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17706 HILLSIDE WAY",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913505874",
            "telephone_number": "812-454-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17706 HILLSIDE WAY",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913505874",
            "telephone_number": "812-454-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA WOMEN S THERAPY PSYCHOLOGICAL SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2023-07-01",
        "certification_date": "2023-07-01",
        "status": "A",
        "authorized_official_last_name": "TROCKMAN",
        "authorized_official_first_name": "JORDYN",
        "authorized_official_middle_name": "SATER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-526-5268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Women's Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Clarita, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.