Active NPI
Antolin C Trinidad, MD
- Psychiatry Physician
- Danbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 53498
- Practice address
- 152 West St
Danbury, CT 06810-6361 - Phone
- (203) 791-5140
- Fax
- (203) 798-9200
- NPI assigned
- Feb 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD32786 | DC | |
| Psychiatry Physician | 2084P0800X | 0101047901 | VA | |
| Psychiatry Physician | 2084P0800X | 53498 | CT | Primary |
Addresses
Primary practice location
152 West St
Danbury, CT 06810-6361
Mailing address
152 West St
Danbury, CT 06810-6361
Phone (203) 791-5140
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010170613 | Medicaid | VA | |
| 888500100 | Medicaid | MD | |
| 025790700 | Medicaid | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
152 W St
Danbury, CT 06810-6361
Phone (203) 791-5140
Hospital & facility affiliations
- Norwalk Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD32786 | DC | MD | Psychiatry Physician |
| 0101047901 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Danbury Hospital | Current | Accepting new patients | |
| Danbury Hospital | Current | Accepting new patients | |
| Wisconsin Ave Psychiatric Center Inc | Psychiatry | Current | Accepting new patients |
Locations
24 Hospital Ave
Danbury, CT 06810
Phone (203) 739-7118
20 Germantown Rd
Danbury, CT 06810
Phone (203) 739-4820
152 West St
Danbury, CT 06810
Phone (203) 791-5120
21 Elm St
New Milford, CT 06776
Phone (860) 210-5000
4228 Wisconsin Ave NW
Washington, DC 20016
Phone (202) 885-5600
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Danbury, CT
- NPI 1407898117
-
- General Acute Care Hospital
- Danbury, CT
- NPI 1548293343
-
- General Acute Care Hospital
- New Milford, CT
- NPI 1619938016
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1346441953
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1427041581
-
- General Acute Care Hospital
- Norwalk, CT
- NPI 1649263880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582675200000",
"number": "1083688022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 WEST ST",
"city": "DANBURY",
"state": "CT",
"postal_code": "068106361",
"telephone_number": "203-791-5140",
"fax_number": "203-798-8959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 WEST ST",
"city": "DANBURY",
"state": "CT",
"postal_code": "068106361",
"telephone_number": "203-791-5140",
"fax_number": "203-798-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRINIDAD",
"first_name": "ANTOLIN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DC",
"license": "MD32786",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101047901",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CT",
"license": "53498",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010170613",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "888500100",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "025790700",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.