NPIMap

Organization Active NPI

Trellis Servcies, Inc

  • Psychologist
  • Cockeysville, MD
National Provider Identifier
1811934045
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
03508 Issued in MD
Legal business name
TRELLIS SERVCIES, INC
Practice address
150 Lake Front Dr
Cockeysville, MD 21030-2215
Phone
(410) 628-1076
Fax
(410) 628-0836
NPI assigned
May 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Debbie Stipa
Title
Director of Administrative Services
Phone
(410) 628-1076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 03508 MD Primary

Addresses

Primary practice location

150 Lake Front Dr
Cockeysville, MD 21030-2215

Mailing address

PO Box 1332
Cockeysville, MD 21030-6332
Phone (410) 628-1076

National Provider Directory

National Provider Directory
Tax ID family
Trellis Services Inc3 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.

Locations

150 Lakefront Dr
Cockeysville, MD 21030
Phone (410) 628-1076

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811934045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1332",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210306332",
            "telephone_number": "410-628-1076",
            "fax_number": "410-628-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 LAKE FRONT DR",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210302215",
            "telephone_number": "410-628-1076",
            "fax_number": "410-628-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRELLIS SERVCIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STIPA",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "DIRECTOR OF ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "410-628-1076",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "MD",
            "license": "03508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cockeysville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.