Trina L. Greenwald LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

TRINA L. GREENWALD LLC

Doing business as

Serenity Clinic

Practice address

515 N Bradner Ave
Marion, IN 46952-2449

Phone

(765) 664-8000

Fax

(877) 731-2066

NPI assigned

Nov 26, 2012

Organization subpart

No

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

Authorized official

Name

Trina L Greenwald, FNP-C, PMHNP-BCNPI 1548298409

Title

Owner/Practitioner

Phone

(765) 664-8000

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Serenity Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

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

• Trina L Greenwald, MSN, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Marion, IN
  • NPI 1548298409
  Medicare reassignment Care Compare group NPD Authorized official
• Audre N Johnson, NP

  • Family Nurse Practitioner
  • Anderson, IN
  • NPI 1255772430
  Medicare reassignment Care Compare group NPD
• Andrea Nicole Mendenhall, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Yorktown, IN
  • NPI 1982390993
  Medicare reassignment Care Compare group NPD
• Annalise Kathleen Michaud, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Marion, IN
  • NPI 1245840081
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1245574516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N BRADNER AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522449",
            "telephone_number": "765-664-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N BRADNER AVE",
            "city": "MARION",
            "state": "IN",
            "postal_code": "469522449",
            "telephone_number": "765-664-8000",
            "fax_number": "877-731-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINA L. GREENWALD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "GREENWALD",
        "authorized_official_first_name": "TRINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "765-664-8000",
        "authorized_official_credential": "FNP-C, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71002182A",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist",
            "state": "IN",
            "license": "28084011A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200844580",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Michelle R Transier, BSN, RN
• Bianca Maria Ellen Trejo, RBT-24-379080
• Cortney Trexler, RBT
• Tamara Tropf
• Kayla Marie Trumbo
• Sarah Tullis
• Michelle Turner, RBT
• Sara Ruth Turner, PT

• Clinical Psychologist in Marion, IN
• Providers in Marion, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.