Individual provider Active NPI

Gayle Trenberth, PH.D.

  • Psychologist
  • Silver City, NM
National Provider Identifier
1780605246
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY-2023-0111 Issued in NM
Practice address
1816 N Silver St
Silver City, NM 88061-7025
Phone
(575) 404-0630
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY 5584 CA
Psychologist 103T00000X PSY-2023-0111 NM Primary

Addresses

Primary practice location

1816 N Silver St
Silver City, NM 88061-7025

Mailing address

1816 N Silver St
Silver City, NM 88061-7025
Phone (575) 404-0630

Other identifiers 2

IdentifierTypeStateIssuer
330627184OtherCABLUE CROSS
37208870MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231116003645 NM Practitioner - Clinical Psychologist 0244327807 Practice locations: Silver City, NM

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1816 N Silver St
Silver City, NM 88061-7025
Phone (575) 404-0630

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY-2023-0111NMMDPsychologist
PSY 5584CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1780605246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 N SILVER ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617025",
            "telephone_number": "575-404-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 N SILVER ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880617025",
            "telephone_number": "575-404-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRENBERTH",
        "first_name": "GAYLE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 5584",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NM",
            "license": "PSY-2023-0111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "330627184",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37208870",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver City, NM

Sources for this page

Verify at the official NPI Registry.