NPIMap

Organization Active NPI

Trinity Treatment Center

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Dracut, MA
National Provider Identifier
1417431495
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
Legal business name
TRINITY TREATMENT CENTER
Practice address
1030 Skyline Dr Apt 21
Dracut, MA 01826-6142
Phone
(978) 710-6520
NPI assigned
Sep 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Authorized official

Name
Ivana Saninocencio
Title
Ceo
Phone
(978) 710-6520

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084A0401X Primary

Addresses

Primary practice location

1030 Skyline Dr Apt 21
Dracut, MA 01826-6142

Mailing address

1030 Skyline Dr Apt 21
Dracut, MA 01826-6142
Phone (978) 710-6520

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537142400000",
    "number": "1417431495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 SKYLINE DR APT 21",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018266142",
            "telephone_number": "978-710-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 SKYLINE DR APT 21",
            "city": "DRACUT",
            "state": "MA",
            "postal_code": "018266142",
            "telephone_number": "978-710-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-17",
        "last_updated": "2018-09-17",
        "status": "A",
        "authorized_official_last_name": "SANINOCENCIO",
        "authorized_official_first_name": "IVANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-710-6520"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dracut, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.