Michael Triolo

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

C039160916 Issued in CA

Practice address

135 Paul Dr
San Rafael, CA 94903-2023

Phone

(415) 526-7810

NPI assigned

Nov 10, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• A&T Enterprise LLC

  • Substance Abuse Rehabilitation Facility
  • San Rafael, CA
  • NPI 1619814407
  NPD Authorized official
• Summit Sober Living Inc.

  • Substance Abuse Rehabilitation Facility
  • San Rafael, CA
  • NPI 1659218444
  NPD Authorized official

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1609318385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 PAUL DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 PAUL DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032023",
            "telephone_number": "415-526-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIOLO",
        "first_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-10",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "C039160916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traumatology
• Mercedes Traverso, D.O.
• Trca Services LLC
• Catherine B. Treseler, MD
• Kaitlyn Trimarchi
• Jennifer Dawn Tripathy, MFT
• Melissa Jacqueline Troncin-D'Amore
• Ann Troy, M.D.
• Kathleen Rosalind Truax, MFT
• Alberto Gabriel Trujillo, PEER SPECIALIST

• Addiction (Substance Use Disorder) Counselor in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.