Individual provider Active NPI

Barbara Ann Trilling, PH.D.

  • Psychologist
  • Staten Island, NY
National Provider Identifier
1174661797
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
005169 Issued in NY
Practice address
482 Bard Ave
Staten Island, NY 10310-2105
Phone
(718) 447-7079
Fax
(718) 720-6944
NPI assigned
Feb 3, 2007
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 005169 NY
Psychoanalysis Psychologist 103TP0814X 005169 NY
Psychologist 103T00000X 005169 NY Primary

Addresses

Primary practice location

482 Bard Ave
Staten Island, NY 10310-2105

Mailing address

482 Bard Ave
Staten Island, NY 10310-2105
Phone (718) 447-7079

Other identifiers 2

IdentifierTypeStateIssuer
147513OtherNYVALUE OPTIONS PIN#
0090816OtherNYGHI PIN#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110323000856 NY Practitioner - Clinical Psychologist 5698958965 Practice locations: Staten Island, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

633 Clove Rd
Staten Island, NY 10310-2736
Phone (718) 447-7079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1174661797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "482 BARD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102105",
            "telephone_number": "718-447-7079",
            "fax_number": "718-720-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "482 BARD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102105",
            "telephone_number": "718-447-7079",
            "fax_number": "718-720-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRILLING",
        "first_name": "BARBARA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "005169",
            "primary": false
        },
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "NY",
            "license": "005169",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "005169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PIN#",
            "identifier": "147513",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PIN#",
            "identifier": "0090816",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.