Active NPI
Justin James Trevino, M.D.
- Addiction Psychiatry Physician
- Mason, OH
National Provider Identifier
1841359031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Psychiatry Physician
- License
- 35058370
- Practice address
- 4075 Old Western Row Rd
Mason, OH 45040-3104 - Phone
- (513) 536-0641
- Fax
- (513) 536-0619
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35058370 | OH | |
| Addiction Psychiatry Physician | 2084P0802X | 35058370 | OH | Primary |
Addresses
Primary practice location
4075 Old Western Row Rd
Mason, OH 45040-3104
Mailing address
4075 Old Western Row Rd
Mason, OH 45040-3104
Phone (513) 536-0641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245974400000",
"number": "1841359031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4075 OLD WESTERN ROW RD",
"city": "MASON",
"state": "OH",
"postal_code": "450403104",
"telephone_number": "513-536-0641",
"fax_number": "513-536-0619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4075 OLD WESTERN ROW RD",
"city": "MASON",
"state": "OH",
"postal_code": "450403104",
"telephone_number": "513-536-0641",
"fax_number": "513-536-0619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREVINO",
"first_name": "JUSTIN",
"middle_name": "JAMES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2009-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35058370",
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "OH",
"license": "35058370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.