Individual provider Active NPI

Trina Patenaude Martin, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • West Hartford, CT
National Provider Identifier
1942665443
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
6394 Issued in CT
Practice address
125 Lasalle Rd Ste 300
West Hartford, CT 06107-2311
Phone
(518) 598-5220
Fax
(866) 383-6746
NPI assigned
Dec 28, 2015
Last updated
Apr 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 6394 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 6394 CT Primary

Addresses

Primary practice location

125 Lasalle Rd Ste 300
West Hartford, CT 06107-2311

Mailing address

225 Boston Post Rd Unit 38
East Lyme, CT 06333-7002
Phone (860) 494-5884

Other practice location 1

225 Boston Post Rd Unit 38
East Lyme, CT 06333-7002
Phone (860) 494-5884

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160418000533 CT Practitioner - Nurse Practitioner 2466750955 Reassigns benefits to 1 organization
I20241017003334 NY Practitioner - Nurse Practitioner 2466750955 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
George Washington University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatric Nurse Practitioner PCGroup PAC ID 6901221795, 45 clinicians

Practice addresses (Care Compare)

17 Salem Hollow LN
Salem, CT 06420-4046
Phone (860) 494-5884

191 Orchard St
Apt 4D
New York, NY 10002-1424
Phone (718) 534-0689

245 5TH Ave
FL 3
New York, NY 10016-8728
Phone (860) 494-5884

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6394CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ruby Psychiatric Services, PLLC Psychiatric/Mental Health CurrentSince May 13, 2024 Accepting new patients
Psychiatric Nurse Practitioner P.C Psychiatric/Mental Health CurrentSince Nov 25, 2024 Accepting new patients
Absolute Outcomes, LLC Past Accepting new patients
Mellahealth LLC PastSince Dec 1, 2020 Accepting new patients
NC Elder Care PLLC PastSince Apr 1, 2023 Accepting new patients

Locations

225 Boston Post Rd
Unit 38
East Lyme, CT 06333
Phone (860) 494-5884

125 Lasalle Rd
Ste 300
West Hartford, CT 06107
Phone (860) 810-0587

245 5th Ave
Fl 3
New York, NY 10016
Phone (212) 302-4399

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1942665443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 BOSTON POST RD UNIT 38",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063337002",
            "telephone_number": "860-494-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LASALLE RD STE 300",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072311",
            "telephone_number": "518-598-5220",
            "fax_number": "866-383-6746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 Boston Post Rd Unit 38",
            "address_purpose": "LOCATION",
            "city": "East Lyme",
            "state": "CT",
            "postal_code": "063337002",
            "country_code": "US",
            "telephone_number": "860-494-5884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "TRINA",
        "middle_name": "PATENAUDE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-28",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "6394",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "6394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.