Valley Geropsychiatry LLC

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

Legal business name

VALLEY GEROPSYCHIATRY LLC

Practice address

2123B Crystal Spring Ave SW
Roanoke, VA 24014-2413

Phone

(540) 266-3136

NPI assigned

Jul 5, 2018

Last updated

Aug 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David Trinkle, MDNPI 1598749632

Title

Owner

Phone

(540) 266-1336

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Trinkle, MD

  • Geriatric Psychiatry Physician
  • Roanoke, VA
  • NPI 1598749632
  Medicare reassignment Care Compare group NPD Authorized official
• Adam Mullet, MD

  • Psychiatry Physician
  • Roanoke, VA
  • NPI 1609492594

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1720574569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123B CRYSTAL SPRING AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240142413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123B CRYSTAL SPRING AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240142413",
            "telephone_number": "540-266-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY GEROPSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-05",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "TRINKLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-266-1336",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Psychiatry Physician in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Geriatric Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.