Organization Active NPI

Trinity Behavioral Health, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Antonio, TX
National Provider Identifier
1003372749
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
TRINITY BEHAVIORAL HEALTH, PLLC
Practice address
5600 Vance Jackson Rd
San Antonio, TX 78230-3435
Phone
(210) 815-4468
NPI assigned
Feb 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Authorized official

Name
Vasi JankovichNPI 1629415872
Title
LCSW/Manager
Phone
(210) 815-4468

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5600 Vance Jackson Rd
San Antonio, TX 78230-3435

Mailing address

5600 Vance Jackson Rd
San Antonio, TX 78230-3435
Phone (210) 815-4468

Other names 1

  • Trinity Behavioral Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190314001785 TX Part B Supplier - Clinic/Group Practice 0547500308 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1003372749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 VANCE JACKSON RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782303435",
            "telephone_number": "210-815-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 VANCE JACKSON RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782303435",
            "telephone_number": "210-815-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY BEHAVIORAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-02-19",
        "status": "A",
        "authorized_official_last_name": "JANKOVICH",
        "authorized_official_first_name": "VASI",
        "authorized_official_title_or_position": "LCSW/MANAGER",
        "authorized_official_telephone_number": "210-815-4468"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.