Active NPI
Trinity Mental Health Services LLC
- Psychiatric/Mental Health Nurse Practitioner
- Union, NJ
National Provider Identifier
1144899311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- TRINITY MENTAL HEALTH SERVICES LLC
- Practice address
- 721 Garden St
Union, NJ 07083-6621 - Phone
- (973) 768-9482
- NPI assigned
- Jun 22, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Anukam
- Title
- Owner
- Phone
- (973) 768-9482
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
721 Garden St
Union, NJ 07083-6621
Mailing address
721 Garden St
Union, NJ 07083-6621
Phone (973) 768-9482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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": "1624320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714003200000",
"number": "1144899311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 GARDEN ST",
"city": "UNION",
"state": "NJ",
"postal_code": "070836621",
"telephone_number": "973-768-9482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 GARDEN ST",
"city": "UNION",
"state": "NJ",
"postal_code": "070836621",
"telephone_number": "973-768-9482"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRINITY MENTAL HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-22",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A",
"authorized_official_last_name": "ANUKAM",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-768-9482"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Union, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.