DANIEL TRUJILLO (NPI# 1790946879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790946879 |
Entity Type | Individual |
Full Name | DANIEL TRUJILLO |
Credential | PH.D. |
Practice Address |
6659 E 400 N Rolling Prairie IN 46371-9650 |
Mailing Address |
Po Box 402 6659 E 400 N Rolling Prairie IN 46371-0402 |
Practice Telephone | 2197789209 |
Mailing Telephone | 2197789209 |
Enumeration Date | 2008-06-20 |
Last Update Date | 2008-06-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
20040269A | IN | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194110825 | Daniel Trujillo | Physical Therapist | 729a Chestnut St, San Francisco, CA 94133-7289 | 2015-03-31 |
1346512936 | Daniel Amado Trujillo | Psychologist | 50 Haven Ave, 102, New York, NY 10032-2652 | 2012-01-30 |
1467013391 | Daniel Gray Trujillo | Student in an Organized Health Care Education/Training Program | 600 Highland Ave, Madison, WI 53792-0001 | 2019-06-21 |
Street Address |
6659 E 400 N |
City | ROLLING PRAIRIE |
State | IN |
Zip Code | 46371-9650 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528454766 | Angelika Colpitts | Technician, Other | 7202 E 350 N, Rolling Prairie, IN 46371-9438 | 2015-04-14 |
1548546542 | Jeremy J Blosser | Pharmacist | 6317 E 350 N, Rolling Prairie, IN 46371-9469 | 2011-10-23 |
1275179541 | Proactive - New Prairie | Clinic/Center | 605 E Michigan St, Rolling Prairie, IN 46371-9576 | 2019-11-21 |
1144399569 | Glen Louis Murphy | Psychologist | 3455 E Sundew Dr, Rolling Prairie, IN 46371-9684 | 2006-11-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275179541 | Proactive - New Prairie | Clinic/Center | 605 E Michigan St, Rolling Prairie, IN 46371-9576 | 2019-11-21 |
1528454766 | Angelika Colpitts | Technician, Other | 7202 E 350 N, Rolling Prairie, IN 46371-9438 | 2015-04-14 |
1548546542 | Jeremy J Blosser | Pharmacist | 6317 E 350 N, Rolling Prairie, IN 46371-9469 | 2011-10-23 |
1144399569 | Glen Louis Murphy | Psychologist | 3455 E Sundew Dr, Rolling Prairie, IN 46371-9684 | 2006-11-07 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
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1447722483 | Steven James Eckert | Psychologist | 4700 Bureau Rd N, Terre Haute, IN 47802-8246 | 2018-12-31 |
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Find all providers with the same taxonomy |
City | ROLLING PRAIRIE |
Zip Code | 46371 |
Please comment or provide details below to improve the information on DANIEL TRUJILLO.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.