Active NPI
Donna Truong, PSY.D.
- Clinical Psychologist
- Valencia, CA
National Provider Identifier
1972798098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSYD30689
- Practice address
- 23822 Valencia Blvd Ste 207
Valencia, CA 91355-5348 - Phone
- (661) 437-3287
- Fax
- (661) 244-3513
- NPI assigned
- Sep 11, 2007
- 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 | PSYD30689 | CA | Primary |
Addresses
Primary practice location
23822 Valencia Blvd Ste 207
Valencia, CA 91355-5348
Mailing address
3031 S Vermont Ave
Los Angeles, CA 90007-3033
Phone (323) 766-2360
Other practice location 1
3031 S Vermont Ave
Los Angeles, CA 90007-3033
Phone (323) 766-2360 ext. 3182
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSYD30689 | CA | MD | Clinical Psychologist |
| 30689 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Judd Psychological Services Inc | Current | Accepting new patients |
Locations
23822 Valencia Blvd
Ste 207
Valencia, CA 91355
Phone (661) 437-3287
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.
-
- Community/Behavioral Health Agency
- Valencia, CA
- NPI 1225465271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1972798098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3031 S VERMONT AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900073033",
"telephone_number": "323-766-2360",
"fax_number": "323-373-2442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23822 VALENCIA BLVD STE 207",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913555348",
"telephone_number": "661-437-3287",
"fax_number": "661-244-3513"
}
],
"practiceLocations": [
{
"address_1": "3031 S Vermont Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900073033",
"country_code": "US",
"telephone_number": "323-766-2360 x3182",
"fax_number": "323-373-2442",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRUONG",
"first_name": "DONNA",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-11",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSYD30689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.