Active NPI
Markus Trujillo, MA
- Behavior Analyst
- Warren, NJ
National Provider Identifier
1144718966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-18-31769
- Practice address
- 67A Mountain Boulevard Ext.
1St Floor, Unit B
Warren, NJ 07059 - Phone
- (858) 216-8837
- NPI assigned
- Apr 26, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 102979 | CA | |
| Behavior Analyst | 103K00000X | 1-18-31769 | CA | Primary |
Addresses
Primary practice location
67A Mountain Boulevard Ext.
1St Floor, Unit B
Warren, NJ 07059
Mailing address
67A Mountain Boulevard Ext
1St Floor, Unit B
Warren, NJ 07059
Phone (858) 216-8837
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102979 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1144718966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67A MOUNTAIN BOULEVARD EXT",
"address_2": "1ST FLOOR, UNIT B",
"city": "WARREN",
"state": "NJ",
"postal_code": "07059",
"telephone_number": "858-216-8837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "67A MOUNTAIN BOULEVARD EXT.",
"address_2": "1ST FLOOR, UNIT B",
"city": "WARREN",
"state": "NJ",
"postal_code": "07059",
"telephone_number": "858-216-8837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRUJILLO",
"first_name": "MARKUS",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-26",
"last_updated": "2023-06-12",
"certification_date": "2022-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "102979",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-18-31769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.