Individual provider Active NPI

Cristina Andreea Trutia, M.D.

  • Psychiatry Physician
  • Plattsburgh, NY
National Provider Identifier
1710995527
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
231376 Issued in NY
Practice address
22 US Oval
Suite 207
Plattsburgh, NY 12903-5900
Phone
(518) 324-4802
Fax
(518) 324-4817
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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 231376 NY Primary

Addresses

Primary practice location

22 US Oval
Suite 207
Plattsburgh, NY 12903-5900

Mailing address

22 US Oval
Suite 207
Plattsburgh, NY 12903-5900
Phone (518) 324-4803

Other identifiers 1

IdentifierTypeStateIssuer
02568252MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040816000857 NY Practitioner - Psychiatry 3971576216 Reassigns benefits to 2 organizations
Practice locations: Plattsburgh, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adirondack Medical CenterGroup PAC ID 9638081284, 85 clinicians

Practice addresses (Care Compare)

22 US Oval
Suite 207
Plattsburgh, NY 12903-5902
Phone (518) 324-4803

2233 State Route 86
Saranac Lake, NY 12983-5644
Phone (518) 891-4141

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
231376NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adirondack Medical Center CurrentSince Apr 1, 2024 Accepting new patients
Adirondack Medical Center CurrentSince Apr 1, 2024 Accepting new patients
Adirondack Medical Center Past Accepting new patients

Locations

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

7 Stetson Rd
Tupper Lake, NY 12986
Phone (518) 359-7000

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1710995527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 US OVAL",
            "address_2": "SUITE 207",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129035900",
            "telephone_number": "518-324-4803",
            "fax_number": "518-324-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 US OVAL",
            "address_2": "SUITE 207",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129035900",
            "telephone_number": "518-324-4802",
            "fax_number": "518-324-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUTIA",
        "first_name": "CRISTINA",
        "middle_name": "ANDREEA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "231376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02568252",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.