Trinity Behavioral Health, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6915 Issued in FL

Legal business name

TRINITY BEHAVIORAL HEALTH, LLC

Practice address

5413 George St
Suite 2
New Port Richey, FL 34652-4101

Phone

(727) 848-0840

Fax

(727) 255-5075

NPI assigned

Nov 12, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Robert W. Young Jr., CLINICAL PSYCHOLOGISNPI 1891719977

Title

PH D

Phone

(727) 848-0840

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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

• Robert W Young Jr., PH.D.

  • Clinical Psychologist
  • New Port Richey, FL
  • NPI 1891719977

  Clinical, FL

  Medicare reassignment NPD Authorized official
• Benjamin N. Cohen, PH.D.

  • Psychologist
  • Tarpon Springs, FL
  • NPI 1558315812
  NPD (past)
• Karen Lynn Moorhead, PHD

  • Psychologist
  • New Port Richey, FL
  • NPI 1164418836
  NPD (past)
• Robert A Young, MD

  • Internal Medicine Physician
  • Hudson, FL
  • NPI 1235155243
  NPD (past)

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1326375296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5413 GEORGE ST",
            "address_2": "SUITE 2",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524101",
            "telephone_number": "727-848-0840",
            "fax_number": "727-255-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5413 GEORGE ST",
            "address_2": "SUITE 2",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524101",
            "telephone_number": "727-848-0840",
            "fax_number": "727-255-5075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PH D",
        "authorized_official_telephone_number": "727-848-0840",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CLINICAL PSYCHOLOGIS"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael James Trese, LMHC
• Trident Behavioral Healthcare, Inc.
• Trident Medical Management, Inc.
• Deborah A Triglia, ARNP
• Trinity Ambulatory Surgical Center LLC
• Trinity Cardiac Cath Lab LLC
• Trinity Dental Designs Incorporated
• Trinity Doctors Group PA
• Trinity Health Plus, LLC
• Trinity Medical Pharmacy

• All providers in New Port Richey, FL
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.