Individual provider Active NPI

Ida Muriel Trilnick, M.D.

  • Psychiatry Physician
  • Bala Cynwyd, PA
National Provider Identifier
1538146477
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD039616L Issued in PA
Practice address
555 E City Ave
Ste 210
Bala Cynwyd, PA 19004-1115
Phone
(610) 660-8338
Fax
(610) 660-8339
NPI assigned
Dec 30, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD039616L PA Primary

Addresses

Primary practice location

555 E City Ave
Ste 210
Bala Cynwyd, PA 19004-1115

Mailing address

555 E City Ave
Ste 210
Bala Cynwyd, PA 19004-1115
Phone (610) 660-8338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD039616LPAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538146477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 E CITY AVE",
            "address_2": "STE 210",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041115",
            "telephone_number": "610-660-8338",
            "fax_number": "610-660-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E CITY AVE",
            "address_2": "STE 210",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041115",
            "telephone_number": "610-660-8338",
            "fax_number": "610-660-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRILNICK",
        "first_name": "IDA",
        "middle_name": "MURIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD039616L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bala Cynwyd, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.