NPIMap

Organization Active NPI

Troup Behavioral Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Quincy, MA
National Provider Identifier
1457747826
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN251242 Issued in MA
Legal business name
TROUP BEHAVIORAL HEALTH, LLC
Practice address
11 Riverbank Rd
Quincy, MA 02169-3326
Phone
(617) 773-9633
NPI assigned
Apr 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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

Authorized official

Name
Ms. Jennifer Troup, MSN, PMHNP-BCNPI 1396154019
Title
President
Phone
(781) 389-9138

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X RN251242 MA Primary

Addresses

Primary practice location

11 Riverbank Rd
Quincy, MA 02169-3326

Mailing address

PO Box 113
Whitman, MA 02382-0113
Phone (617) 773-0633

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151103002161 MA Part B Supplier - Clinic/Group Practice 6709196702 Receives reassigned benefits from 5 practitioners
Practice locations: Quincy, MA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1428796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445558400000",
    "number": "1457747826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 113",
            "city": "WHITMAN",
            "state": "MA",
            "postal_code": "023820113",
            "telephone_number": "617-773-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RIVERBANK RD",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021693326",
            "telephone_number": "617-773-9633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROUP BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-12",
        "last_updated": "2015-10-23",
        "status": "A",
        "authorized_official_last_name": "TROUP",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-389-9138",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN251242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.