Triniteam, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

1936 Issued in WI

Legal business name

TRINITEAM, INC.

Practice address

202 Graham Ave
Eau Claire, WI 54701-3632

Phone

(715) 836-8106

Fax

(715) 836-8104

NPI assigned

Jun 1, 2010

Organization subpart

No

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

Authorized official

Name

Robert Peitzman

Title

Executive Director

Phone

(715) 836-8106

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278288000000",
    "number": "1689993602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 GRAHAM AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013632",
            "telephone_number": "715-836-8106",
            "fax_number": "715-836-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 GRAHAM AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013632",
            "telephone_number": "715-836-8106",
            "fax_number": "715-836-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITEAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2010-07-05",
        "status": "A",
        "authorized_official_last_name": "PEITZMAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "715-836-8106"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": "1936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689993602",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Trent
• Diana Ileana Trifa, MD
• Todd Joseph Trigg, CRNA
• Bruce Wayne Trimble, DDS
• Trinh N Trinh, PHARMD
• Trinity Equestrian Center
• Trinity Palliative and Hospice LLC
• Aaron Triplett, DO
• Lois C Tritz, MS/CCC-SLP
• Vipul Trivedi, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2010; 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.