Active NPI
Jonas Trinidad
- Psychologist
- Palmetto Bay, FL
National Provider Identifier
1174857874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PY6064
- Practice address
- 8300 SW 172ND St
Palmetto Bay, FL 33157-4737 - Phone
- (850) 672-9442
- NPI assigned
- Sep 28, 2009
- Last updated
- Sep 28, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PY6064 | FL | Primary |
Addresses
Primary practice location
8300 SW 172ND St
Palmetto Bay, FL 33157-4737
Mailing address
8300 SW 172ND St
Palmetto Bay, FL 33157-4737
Phone (850) 672-9442
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY6064 | FL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254096000000",
"number": "1174857874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8300 SW 172ND ST",
"city": "PALMETTO BAY",
"state": "FL",
"postal_code": "331574737",
"telephone_number": "850-672-9442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8300 SW 172ND ST",
"city": "PALMETTO BAY",
"state": "FL",
"postal_code": "331574737",
"telephone_number": "850-672-9442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRINIDAD",
"first_name": "JONAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-28",
"last_updated": "2009-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "PY6064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmetto Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.