Organization Active NPI

Jennifer Trihoulis MD, LLC

  • Psychiatry Physician
  • Columbia, MS
National Provider Identifier
1669744314
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
19631 Issued in MS
Legal business name
JENNIFER TRIHOULIS MD, LLC
Practice address
1113 Highway 98 Byp Ste B
Columbia, MS 39429-3746
Phone
(601) 336-2220
Fax
(601) 336-2221
NPI assigned
Jan 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Authorized official

Name
Jennifer Trihoulis, MDNPI 1699891705
Title
Member
Phone
(601) 336-2220

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 19631 MS Primary

Addresses

Primary practice location

1113 Highway 98 Byp Ste B
Columbia, MS 39429-3746

Mailing address

5266 Old Highway 11 Ste 70-309
Hattiesburg, MS 39402-7817
Phone (601) 336-2220

National Provider Directory

National Provider Directory

Locations

5266 Old Highway 11
Ste 70309
Hattiesburg, MS 39402

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": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1669744314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5266 OLD HIGHWAY 11 STE 70-309",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394027817",
            "telephone_number": "601-336-2220",
            "fax_number": "601-336-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 HIGHWAY 98 BYP STE B",
            "city": "COLUMBIA",
            "state": "MS",
            "postal_code": "394293746",
            "telephone_number": "601-336-2220",
            "fax_number": "601-336-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER TRIHOULIS MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-26",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "TRIHOULIS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "601-336-2220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "19631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.