Individual provider Active NPI

Brizel H. Trinidad, PSYD

  • Clinical Psychologist
  • Orlando, FL
National Provider Identifier
1013460492
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY13215 Issued in FL
Practice address
14 W Gore St
Orlando, FL 32806-1114
Phone
(321) 841-5725
Fax
(321) 843-1635
NPI assigned
Aug 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Clinical Neuropsychologist 103G00000X 071011353 IL
Clinical Psychologist 103TC0700X PY13215 FL Primary

Addresses

Primary practice location

14 W Gore St
Orlando, FL 32806-1114

Mailing address

14 W Gore St
Orlando, FL 32806-1114
Phone (321) 841-5725

Other practice location 1

8001 SW 36th St
Suite 9
Davie, FL 33328-1915
Phone (954) 577-7790

Other practice location 2

302 Randall Rd Ste 308
Geneva, IL 60134-4205
Phone (630) 933-4056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250121001008 IL Practitioner - Clinical Psychologist 3072042076
I20260514002172 FL Practitioner - Clinical Psychologist 3072042076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1414 Kuhl Ave
Orlando, FL 32806-2093

PO Box
New York, NY 10087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY13215FLMDClinical Psychologist

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": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1013460492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 W GORE ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061114",
            "telephone_number": "321-841-5725",
            "fax_number": "321-843-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 W GORE ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061114",
            "telephone_number": "321-841-5725",
            "fax_number": "321-843-1635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8001 SW 36th St",
            "address_2": "Suite 9",
            "address_purpose": "LOCATION",
            "city": "Davie",
            "state": "FL",
            "postal_code": "333281915",
            "country_code": "US",
            "telephone_number": "954-577-7790",
            "fax_number": "954-577-7780",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302 Randall Rd Ste 308",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "601344205",
            "country_code": "US",
            "telephone_number": "630-933-4056",
            "fax_number": "630-208-3007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRINIDAD",
        "first_name": "BRIZEL",
        "middle_name": "H.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IL",
            "license": "071011353",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY13215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.