Individual provider Active NPI

Donna Truong, PSY.D.

  • Clinical Psychologist
  • Valencia, CA
National Provider Identifier
1972798098
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSYD30689 Issued in CA
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

Updated by the provider on Nov 19, 2020

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190917001690 CA Practitioner - Clinical Psychologist 1658600614 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSYD30689CAMDClinical Psychologist
30689CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Judd Psychological Services Inc CurrentSince Aug 15, 2020 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.

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

Verify at the official NPI Registry.