Jeremy J Trimble, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY23293 Issued in CA

Practice address

PO Box 212494
Chula Vista, CA 91921-2494

Phone

(619) 354-0082

NPI assigned

Jul 16, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Wellqor Psychological Services of California, PC

  • Clinical Psychologist
  • Murrieta, CA
  • NPI 1093173742
  NPD (past)

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1750722922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 BOLINAS BAY CT",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919131704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 212494",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919212494",
            "telephone_number": "619-354-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIMBLE",
        "first_name": "JEREMY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-16",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "PSY23293",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY23293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tricare Outpatient Clinic Chula Vista
• Tricare Outpatient Clinic Chula Vista
• Rebecca Anne Triebold, PA-C
• Tam Trieu
• Jennifer Trimai, PA-C
• Brian Trinh, DO
• Dante Trinidad
• Jay Trinidad, RN
• Trinity Ambulance San Diego, Inc
• Amaranta Tripp

• Psychologist in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.