Trudy Ann Hartman, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

G62163 Issued in CA

Practice address

800 Menlo Avenue
Suite 120
Menlo Park, CA 94025

Phone

(650) 321-8797

Fax

(650) 326-4965

NPI assigned

Apr 27, 2007

Last updated

May 9, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Trudy Hartman Briskin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 4, 2016 through Apr 4, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336521600000",
    "number": "1831319102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MENLO AVE",
            "address_2": "SUITE 120",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254750",
            "telephone_number": "650-321-8797",
            "fax_number": "650-326-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MENLO AVENUE",
            "address_2": "SUITE 120",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "94025",
            "telephone_number": "650-321-8797",
            "fax_number": "650-326-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "TRUDY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-27",
        "last_updated": "2012-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G62163",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "G62163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRUDY",
            "last_name": "BRISKIN",
            "middle_name": "HARTMAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christensen Javier Hardy, PT, DPT, MS
• Kristin Hardy
• Stephen Hare, PTA
• Brian D Harris, MD
• Robert Francis Harris, M.D.
• Methus Earth Hasassri, M.D.
• Christina Marie Hassija, PHD
• Maureen Mansfield Hawkins, PH.D.
• Kelly Kristine Haws, PHYSICIAN ASSISTANT
• Gina Marie Hayashi, PH.D.

• Child & Adolescent Psychiatry Physician in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.