NPIMap

Organization Active NPI

Trellis Services, Inc

  • Speech-Language Pathologist
  • Hunt Valley, MD
National Provider Identifier
1497082176
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
04277 Issued in MD
Legal business name
TRELLIS SERVICES, INC
Practice address
164 Lake Front Dr
Hunt Valley, MD 21030-2215
Phone
(410) 785-3845
NPI assigned
Nov 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Authorized official

Name
June Goodman-Kessler
Title
Director of Out Patient Services
Phone
(410) 784-3845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 04277 MD Primary

Addresses

Primary practice location

164 Lake Front Dr
Hunt Valley, MD 21030-2215

Mailing address

164 Lake Front Dr
Hunt Valley, MD 21030-2215
Phone (410) 785-3845

National Provider Directory

National Provider Directory
Tax ID family
Trellis Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

164 Lakefront Dr
Hunt Valley, MD 21030
Phone (410) 785-3845

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": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1497082176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 LAKE FRONT DR",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210302215",
            "telephone_number": "410-785-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 LAKE FRONT DR",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210302215",
            "telephone_number": "410-785-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRELLIS SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "GOODMAN-KESSLER",
        "authorized_official_first_name": "JUNE",
        "authorized_official_title_or_position": "DIRECTOR OF OUT PATIENT SERVICES",
        "authorized_official_telephone_number": "410-784-3845"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "04277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hunt Valley, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.