NPIMap

Organization Active NPI

Trinity Mental Healthcare Services

  • Substance Abuse Rehabilitation Facility
  • Silver Spring, MD
National Provider Identifier
1720700016
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
TRINITY MENTAL HEALTHCARE SERVICES
Doing business as
Trinity Mental Healthcare Services
Practice address
13017 Broadmore Rd
Silver Spring, MD 20904-3116
Phone
(240) 706-6831
NPI assigned
Sep 14, 2022
Last updated
Sep 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Authorized official

Name
Jacqueline Korassa Elizabeth Korassa, RN
Title
Registered Nurse
Phone
(240) 706-6831

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

13017 Broadmore Rd
Silver Spring, MD 20904-3116

Mailing address

13017 Broadmore Rd
Silver Spring, MD 20904-3116
Phone (240) 706-6831

Other names 1

  • TRINITY MENTAL HEALTHCARE SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Trinity Mental Healthcare Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1720700016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13017 BROADMORE RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209043116",
            "telephone_number": "240-706-6831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13017 BROADMORE RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209043116",
            "telephone_number": "240-706-6831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY MENTAL HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "KORASSA",
        "authorized_official_first_name": "JACQUELINE  KORASSA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "240-706-6831",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TRINITY MENTAL HEALTHCARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.