Active NPI
Raymundo Cadag Trinanes, C. A. P. M. H. N. P.
- Psychiatric/Mental Health Nurse Practitioner
- Pearl, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- R815428
- Practice address
- 3550 Highway 468 W
Pearl, MS 39208-5529 - Phone
- (601) 351-8000
- Fax
- (601) 351-8301
- NPI assigned
- Nov 15, 2006
- Last updated
- Dec 2, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | R815428 | MS | Primary |
Addresses
Primary practice location
3550 Highway 468 W
Pearl, MS 39208-5529
Mailing address
PO Box 157a
Whitfield, MS 39193-0157
Phone (601) 351-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
230 Trace Colony Park Dr
Suite 4
Ridgeland, MS 39157-8851
Phone (601) 420-5810
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R815428 | MS | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warren Yazoo Mental Health Service | Current | Accepting new patients | |
| Maxie Gordon MD & Associates, PLLC | Current | Accepting new patients | |
| Region VI Community Mental Health Commission | Current | Accepting new patients | |
| NP Care Anywhere LLC | Current | Accepting new patients | |
| Precise Clinical Neuroscience Specialists | Current | Accepting new patients | |
| Integrity Health Services, LLC | Past | Accepting new patients | |
| Precise Psychopharmacology LLC | Past | Accepting new patients | |
| Garden Park | Past | Accepting new patients |
Locations
590 Springridge Rd
Clinton, MS 39056
Phone (601) 488-8101
3531 Lakeland Dr
Ste 1060
Flowood, MS 39232
Phone (601) 420-5410
1654 E Union St
Greenville, MS 38703
Phone (662) 335-5274
230 Trace Colony Park Dr
Ste 4
Ridgeland, MS 39157
3444 Wisconsin Ave
Vicksburg, MS 39180
Phone (601) 638-0031
Organizations & group practices 8
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.
-
dba Right Track Medical Group
- Psychiatry Physician
- Flowood, MS
- NPI 1770717449
-
dba Gordon Medical Arts Clinic
- Psychiatry Physician
- Clinton, MS
- NPI 1114105665
-
- Adult Medicine Physician
- Clinton, MS
- NPI 1609718915
-
dba Life Help
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Greenwood, MS
- NPI 1154433233
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Vicksburg, MS
- NPI 1023002920
-
dba Region VI Mental Health/Mental Retardation Commission
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Greenwood, MS
- NPI 1932437209
-
- Clinical Social Worker
- Shuqualak, MS
- NPI 1336315365
-
- Psychiatry Physician
- Flowood, MS
- NPI 1407053051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291248000000",
"number": "1487727095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 157A",
"city": "WHITFIELD",
"state": "MS",
"postal_code": "391930157",
"telephone_number": "601-351-8000",
"fax_number": "601-351-8301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3550 HIGHWAY 468 W",
"city": "PEARL",
"state": "MS",
"postal_code": "392085529",
"telephone_number": "601-351-8000",
"fax_number": "601-351-8301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRINANES",
"first_name": "RAYMUNDO",
"middle_name": "CADAG",
"name_prefix": "Mr.",
"credential": "C. A. P. M. H. N. P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2010-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MS",
"license": "R815428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearl, MS
- Thrive Pediatrics PLLC
- Margaret E. Tidd, M.D.
- Katerina Toal
- Mary Sneary Townsend
- Triexperts
- Trupath Respiratory and Clinical Services
- Trustmore Incorporated (Trustmore Health Services)
- Trustmore Incorporated (Trustmore Health Services)
- Tutor Family Dentistry LLC
- Univers Medical Massage (Universal Medical Massage)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.