Individual provider Active NPI

Tiffany Tryniszewski, MD

  • Psychiatry Physician
  • Jacksonville, FL
National Provider Identifier
1467831255
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME157096 Issued in FL
Practice address
1301 Riverplace Blvd Ste 800
Jacksonville, FL 32207-9032
Phone
(917) 634-5311
NPI assigned
May 26, 2015
Last updated
Feb 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 294719 NY
Psychiatry Physician 2084P0800X MD218540 OR
Psychiatry Physician 2084P0800X ME157096 FL Primary

Addresses

Primary practice location

1301 Riverplace Blvd Ste 800
Jacksonville, FL 32207-9032

Mailing address

100 Park Street
Glens Falls Hospital - Credentialing
Glens Falls, NY 12801
Phone (518) 926-5924

Other practice location 1

1500 Waters Pl
Bronx, NY 10461-2723
Phone (929) 348-3237

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tiffany.tryniszewski@cdirectglensfallshosp.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, OR, ND, WA, MT, CA7 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 7

Enrollment IDStateProvider typePAC IDDetails
I20200505002792 NY Practitioner - Psychiatry 4688910078 Reassigns benefits to 3 organizations
I20220602000847 FL Practitioner - Psychiatry 4688910078 Reassigns benefits to 1 organization
I20240306003354 OR Practitioner - Psychiatry 4688910078 Reassigns benefits to 1 organization
I20240306004256 ND Practitioner - Psychiatry 4688910078 Reassigns benefits to 1 organization
I20240326002824 WA Practitioner - Psychiatry 4688910078 Reassigns benefits to 1 organization
I20250313000830 MT Practitioner - Psychiatry 4688910078 Reassigns benefits to 2 organizations
I20251119001367 CA Practitioner - Psychiatry 4688910078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glens Falls Hospital IncGroup PAC ID 8325955974, 175 clinicians
Asana Integrated Medical Group PCGroup PAC ID 0042124778, 24 clinicians

Practice addresses (Care Compare)

100 Park St
Glens Falls, NY 12801-4413
Phone (518) 926-3210

30 Mark W Springs Rd
Santa Rosa, CA 95403-1436
Phone (844) 496-9160

Merit-based Incentive Payment System (MIPS)

Final score
88.88 of 100Reported as apm
Quality
71.44
Promoting interoperability
97.95
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
294719NYMDPsychiatry Physician
MD218540ORMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bozeman Health Deaconess Hospital CurrentSince Jan 18, 2025 Accepting new patients
Glens Falls Hospital Inc. Psychiatry CurrentSince Jun 1, 2020 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Feb 23, 2024 Accepting new patients
Billings Clinic CurrentSince Mar 12, 2024 Accepting new patients
Asana Integrated Medical Group PC Psychiatry CurrentSince Sep 6, 2025 Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Jan 18, 2025 Accepting new patients
Bozeman Health Big Sky Medical Center, LLC CurrentSince Dec 16, 2024 Accepting new patients
Bozeman Health Deaconess Hospital Current Accepting new patients
Glens Falls Hospital Inc CurrentSince Jun 1, 2020 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Feb 23, 2024 Accepting new patients
Sanford Bismarck CurrentSince Feb 13, 2024 Accepting new patients
Legacy Clinics LLC CurrentSince Feb 23, 2024 Accepting new patients
Bozeman Health Big Sky Medical Center, LLC CurrentSince Dec 16, 2024 Accepting new patients
Legacy Clinics LLC CurrentSince Feb 23, 2024 Accepting new patients

Locations

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

5555 W Las Positas Blvd
Pleasanton, CA 94588
Phone (925) 416-3418

30 Mark West Springs Rd
Santa Rosa, CA 95403
Phone (707) 576-4000

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

915 Highland Blvd
Bozeman, MT 59715
Phone (406) 414-1720

925 Highland Blvd
Ste 1220
Bozeman, MT 59715
Phone (406) 414-3780

3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300

100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924

79 North St
Granville, NY 12832
Phone (518) 642-0612

1015 NW 22nd Ave
Portland, OR 97210
Phone (503) 413-7582

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1467831255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK STREET",
            "address_2": "GLENS FALLS HOSPITAL - CREDENTIALING",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "12801",
            "telephone_number": "518-926-5924",
            "fax_number": "518-926-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 RIVERPLACE BLVD STE 800",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079032",
            "telephone_number": "917-634-5311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Waters Pl",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104612723",
            "country_code": "US",
            "telephone_number": "929-348-3237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRYNISZEWSKI",
        "first_name": "TIFFANY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "294719",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD218540",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME157096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tiffany.tryniszewski@cdirectglensfallshosp.org",
            "affiliation": "N",
            "address_1": "100 Park Street",
            "address_2": "Glens Falls Hospital - Behavioral Health Services",
            "city": "Glens Falls",
            "state": "NY",
            "country_code": "US",
            "postal_code": "12801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.