Active NPI
Gayle Trenberth, PH.D.
- Psychologist
- Silver City, NM
National Provider Identifier
1780605246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY-2023-0111
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330627184 | Other | CA | BLUE CROSS |
| 37208870 | Medicaid | NM |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-2023-0111 | NM | MD | Psychologist |
| PSY 5584 | CA | MD | Clinical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.