Triton Behavorial Health LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TRITON BEHAVORIAL HEALTH LLC

Practice address

24430 Ford Rd Ste B
Dearborn Heights, MI 48127-3280

Phone

(248) 981-5465

NPI assigned

Feb 21, 2018

Organization subpart

No

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

Authorized official

Name

Christopher Ygay

Title

Principal

Phone

(248) 981-5465

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Elmer James, ED. B, PH.D

  • Psychologist
  • Saint Helen, MI
  • NPI 1750325262
  Medicare reassignment Care Compare group NPD
• Christopher Howard, PSY.D

  • Clinical Neuropsychologist
  • Algonquin, IL
  • NPI 1598317505

  MI

  Medicare reassignment Care Compare group NPD
• Demetrius Edwin Ford, LP, PHD

  • Clinical Psychologist
  • Grosse Pointe Farms, MI
  • NPI 1376699801
  Medicare reassignment NPD
• Michele Leno, PH.D.

  • Clinical Psychologist
  • Novi, MI
  • NPI 1770818577
  Medicare reassignment NPD

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1205337722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 KEATON DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480981807",
            "telephone_number": "248-981-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24430 FORD RD STE B",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273280",
            "telephone_number": "248-981-5465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25600 Woodward Ave Ste 109",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480670944",
            "country_code": "US",
            "telephone_number": "248-429-9145",
            "fax_number": "248-256-0012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRITON BEHAVORIAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "YGAY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "248-981-5465"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jacqueline Truitt, LMT
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• Mental Health Clinic/Center (Including Community Mental Health Center) in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.

Verify at the official NPI Registry.