Trinity Mental Healthcare Services

Primary specialty

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

Legal business name

TRINITY MENTAL HEALTHCARE SERVICES

Practice address

3402 Belair Road
Baltimore, MD 21213

Phone

(240) 706-6831

NPI assigned

Aug 30, 2023

Organization subpart

No

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

Authorized official

Name

Jacqueline Korassa

Title

Ceo

Phone

(240) 706-6831

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Tax ID family

Trinity Mental Healthcare Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Trinity Mental Healthcare Services

  • Substance Abuse Rehabilitation Facility
  • Silver Spring, MD
  • NPI 1720700016
  NPD tax ID
• Trinity Mental Healthcare Services

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1922883511
  NPD tax ID

Locations

Practitioners 1

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

• Uzoamaka Mbadugha

  • Psychiatric/Mental Health Nurse Practitioner
  • Linthicum, MD
  • NPI 1912606385
  Medicare reassignment

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1265217830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3402 BELAIR ROAD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21213",
            "telephone_number": "240-706-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 BELAIR ROAD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21213",
            "telephone_number": "240-706-6831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY MENTAL HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "KORASSA",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-706-6831"
    },
    "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": []
}

• Trinity Care Inc.
• Trinity Care Pharmacy LLC
• Trinity Healthcare Services Incorporated
• Trinity Healthcare Services LLC
• Trinity Hearts Healthcare, LLC
• Trinity Mental Healthcare Services
• Julia Nicole Trintis, D.O.
• Raghav Tripathi, MD, MPH
• Ravi K. Tripathi, MD
• Susmit Tripathi, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.