Organization Active NPI

Trello & Associates LTD

  • Clinical Psychologist
  • Springfield, IL
National Provider Identifier
1164562955
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
TRELLO & ASSOCIATES LTD
Practice address
2131 West White Oaks
Suite a
Springfield, IL 62704
Phone
(217) 793-3668
Fax
(217) 793-9483
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dolores S Trello, PSY D LICENSED CLINI
Title
Owner
Phone
(217) 793-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X IL Primary

Addresses

Primary practice location

2131 West White Oaks
Suite a
Springfield, IL 62704

Mailing address

2131 West White Oaks
Suite a
Springfield, IL 62704
Phone (217) 793-3668

National Provider Directory

National Provider Directory

Locations

2131 W White Oaks Dr
Ste A
Springfield, IL 62704
Phone (217) 321-1987

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1164562955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 WEST WHITE OAKS",
            "address_2": "SUITE A",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "62704",
            "telephone_number": "217-793-3668",
            "fax_number": "217-793-9483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 WEST WHITE OAKS",
            "address_2": "SUITE A",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "62704",
            "telephone_number": "217-793-3668",
            "fax_number": "217-793-9483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRELLO & ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TRELLO",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-793-3668",
        "authorized_official_credential": "PSY D LICENSED CLINI"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.