Individual provider Active NPI

Trina L Christner-Renfroe, PSY.D.

  • Specialist
  • Chattahoochee, FL
National Provider Identifier
1992072656
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PY6564 Issued in FL
Practice address
119 E. Washington Florida State Hospital,
Building 1214, Landis Hall, Room 1090
Chattahoochee, FL 32324-1000
Phone
(850) 663-7706
Fax
(850) 663-7011
NPI assigned
Nov 23, 2011
Last updated
Nov 23, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PY6564 FL Primary

Addresses

Primary practice location

119 E. Washington Florida State Hospital,
Building 1214, Landis Hall, Room 1090
Chattahoochee, FL 32324-1000

Mailing address

PO Box 1000
Chattahoochee, FL 32324-1000
Phone (850) 663-7706

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PY6564FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Children and Families Past Accepting new patients

Organizations & group practices 1

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": "1322006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1992072656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "city": "CHATTAHOOCHEE",
            "state": "FL",
            "postal_code": "323241000",
            "telephone_number": "850-663-7706",
            "fax_number": "850-663-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E. WASHINGTON FLORIDA STATE HOSPITAL,",
            "address_2": "BUILDING 1214, LANDIS HALL, ROOM 1090",
            "city": "CHATTAHOOCHEE",
            "state": "FL",
            "postal_code": "323241000",
            "telephone_number": "850-663-7706",
            "fax_number": "850-663-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTNER-RENFROE",
        "first_name": "TRINA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "PY6564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattahoochee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.