Organization Active NPI

Scott W. Trylch

  • Health Maintenance Organization
  • Midland, MI
National Provider Identifier
1538533138
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
6301001438 Issued in MI
Legal business name
SCOTT W. TRYLCH
Practice address
579 N Wilderness Dr
Midland, MI 48640-8628
Phone
(989) 631-6990
Fax
(989) 837-3108
NPI assigned
Nov 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Authorized official

Name
Scott Trylch, EDDNPI 1447358171
Title
Licensed Psycholgist
Phone
(989) 631-6990

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
Health Maintenance Organization 302R00000X 6301001438 MI Primary

Addresses

Primary practice location

579 N Wilderness Dr
Midland, MI 48640-8628

Mailing address

579 N Wilderness Dr
Midland, MI 48640-8628
Phone (989) 631-6990

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1447891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1538533138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 N WILDERNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486408628",
            "telephone_number": "989-631-6990",
            "fax_number": "989-837-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 N WILDERNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486408628",
            "telephone_number": "989-631-6990",
            "fax_number": "989-837-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT W. TRYLCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-19",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "TRYLCH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "LICENSED PSYCHOLGIST",
        "authorized_official_telephone_number": "989-631-6990",
        "authorized_official_credential": "EDD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MI",
            "license": "6301001438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2015; 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.