Active NPI
Rafael Triana, PH.D.
- Psychoanalyst
- Charlottesville, VA
National Provider Identifier
1376856708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- 0904001438
- Practice address
- 505 Faulconer Dr
Suite 2 D
Charlottesville, VA 22903-4981 - Phone
- (434) 962-3555
- NPI assigned
- Jul 14, 2010
- Last updated
- Jul 14, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | 0904001438 | VA | Primary |
Addresses
Primary practice location
505 Faulconer Dr
Suite 2 D
Charlottesville, VA 22903-4981
Mailing address
505 Faulconer Dr
Suite 2 D
Charlottesville, VA 22903-4981
Phone (434) 962-3555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0904001438 | VA | MD | Psychoanalyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279065600000",
"number": "1376856708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 FAULCONER DR",
"address_2": "SUITE 2 D",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229034981",
"telephone_number": "434-962-3555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 FAULCONER DR",
"address_2": "SUITE 2 D",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229034981",
"telephone_number": "434-962-3555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIANA",
"first_name": "RAFAEL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-14",
"last_updated": "2010-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "VA",
"license": "0904001438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.