NPIMap

Organization Active NPI

Trinity Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Leandro, CA
National Provider Identifier
1255460648
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
TRINITY COUNSELING CENTER
Practice address
13847 E 14TH St Ste 215
San Leandro, CA 94578-2626
Phone
(510) 430-1115
Fax
(510) 430-1116
NPI assigned
Mar 3, 2007
Last updated
Sep 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Authorized official

Name
Dr. Lindsay S Malcolm, PSY.D.NPI 1902091127
Title
Executive Director
Phone
(510) 430-1115

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY23069 CA
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

13847 E 14TH St Ste 215
San Leandro, CA 94578-2626

Mailing address

13847 E 14TH St Ste 215
San Leandro, CA 94578-2626
Phone (510) 430-1115

Other practice location 1

5960 Stoneridge Dr Ste 208
Pleasanton, CA 94588
Phone (510) 430-1115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110124001240 CA Part B Supplier - Clinic/Group Practice 8325227291 Receives reassigned benefits from 1 practitioner
Practice locations: Pleasanton, CA; San Leandro, CA

National Provider Directory

National Provider Directory

Locations

10901 MacArthur Blvd
Ste 202
Oakland, CA 94605
Phone (510) 430-1115

5960 Stoneridge Dr
Ste 208
Pleasanton, CA 94588
Phone (510) 430-1115

13847 E 14th St
Ste 215
San Leandro, CA 94578
Phone (510) 430-1115

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1255460648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13847 E 14TH ST STE 215",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782626",
            "telephone_number": "510-430-1115",
            "fax_number": "510-430-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13847 E 14TH ST STE 215",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782626",
            "telephone_number": "510-430-1115",
            "fax_number": "510-430-1116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5960 Stoneridge Dr Ste 208",
            "address_purpose": "LOCATION",
            "city": "Pleasanton",
            "state": "CA",
            "postal_code": "94588",
            "country_code": "US",
            "telephone_number": "510-430-1115",
            "fax_number": "510-430-1116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRINITY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-03",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "MALCOLM",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "510-430-1115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23069",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.