JUDITH TRIGG (NPI# 1245243237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245243237 |
Entity Type | Individual |
Full Name | JUDITH TRIGG |
Credential | PSY.D |
Practice Address |
6072 Brynwood Dr Ste 105 Rockford IL 61114-5829 |
Mailing Address |
6975 Redansa Dr Rockford IL 61108-1201 |
Practice Telephone | 8153987000 |
Practice Fax Number | 8153950671 |
Mailing Telephone | 8153987000 |
Mailing Fax Number | 8153950671 |
Enumeration Date | 2006-08-14 |
Last Update Date | 2017-04-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
071004991 | IL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BCBS | 10132003 | 01 |
Street Address |
6072 BRYNWOOD DR STE 105 |
City | ROCKFORD |
State | IL |
Zip Code | 61114-5829 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033199054 | Jack Rodriquez | Psychiatry & Neurology | 6072 Brynwood Dr, Rockford, IL 61114-5829 | 2006-01-17 |
1114572427 | Janlynn Druce Jones | Counselor | 6072 Brynwood Dr, Rockford, IL 61114-5829 | 2019-08-04 |
1710346051 | Julia C. Gordon | Social Worker | 6072 Brynwood Dr, Suite 201, Rockford, IL 61114-5829 | 2016-02-15 |
1134485501 | Brynwood Myofascial Therapy | Massage Therapist | 6072 Brynwood Dr, Suite 102, Rockford, IL 61114-5829 | 2012-04-10 |
1306113865 | Brynwood Counseling Inc. | Counselor | 6072 Brynwood Dr, Suite 107, Rockford, IL 61114-5829 | 2011-11-28 |
1891021952 | Malgorzata Zasadny | Physical Therapist | 6072 Brynwood Dr, Ste 102, Rockford, IL 61114-5829 | 2009-10-26 |
1932276136 | Anne S. Zuba | Social Worker | 6072 Brynwood Dr, Suite 105, Rockford, IL 61114-5829 | 2006-11-30 |
1154426468 | Mary Ann Norwood | Counselor | 6072 Brynwood Dr, Suite 105, Rockford, IL 61114 | 2006-09-13 |
1831122100 | Jessica Dannenmaier | Psychologist | 6072 Brynwood Dr, 105, Rockford, IL 61114-5829 | 2006-07-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366064560 | Caleb Ifeoluwa Oluwadamisi | Student in an Organized Health Care Education/Training Program | Mercy Health Javon Bea Hospital, 8201 East Riverside Boulevard, Rockford, IL 61114 | 2020-05-11 |
1811525959 | Seifeldin Eid | Student in an Organized Health Care Education/Training Program | Mercyhealthjavon Bea Hospital, 8201, East Riversideboulevard, IL 61114 | 2020-04-01 |
1073167664 | Swedishamerican Hospital | Internal Medicine | 3505 N Bell School Road, Rockford, IL 61114 | 2019-07-31 |
1154980076 | Anurag Gill | Student in an Organized Health Care Education/Training Program | 8201 East Riverside Boulevard, Mercy Health Javon Bea Hospital, Rockford, IL 61114 | 2019-06-13 |
1578121943 | Sona Najafi | Student in an Organized Health Care Education/Training Program | Mercyhealth Javon Bea Hospital, 8201 East Riverside Blvd, Rockford, IL 61114 | 2019-05-31 |
1760045744 | Julianna Jones | Counselor | 6653 Weaver Rd Ste 115, Rockford, IL 61114 | 2019-04-16 |
1952869943 | Angela Marie Hawkins | Nurse Practitioner | 8201 E. Riverside Blvd, Pediatric Neurology, Rockford, IL 61114 | 2019-03-08 |
1376029231 | Meghan Beth Teske | Chiropractor | 3779 N. Alpine Rd., Rockfod, IL 61114 | 2018-07-13 |
1811401284 | Summit Radiology, LLC | Clinic/Center | 3849 N. Perryville Road, Rockford, IL 61114 | 2017-11-21 |
1548704299 | Rockford Orthopedic Associates, Ltd | Durable Medical Equipment & Medical Supplies | 5929 E Riverside Blvd, Rockford, IL 61114 | 2016-12-15 |
Find all providers in zip 61114 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114549581 | Enlighten Mind Body Wellness LLC | Psychologist | 3106 Spring Harbour Dr, Rockford, IL 61114-6605 | 2020-05-08 |
1275920969 | Jason Soriano | Psychologist | 3784 Fox Pointe, Rockford, IL 61114-7078 | 2015-04-20 |
1326364167 | Paula Marie Mackenzie | Psychologist | 124 N Water St Ste 304, Rockford, IL 61107-3975 | 2010-04-19 |
1225369804 | Kevin Cubala | Psychologist | 5301 E State St Ste 304, Rockford, IL 61108-2390 | 2010-01-21 |
1609105717 | Michael Michalik | Psychologist | 6066 Strathmoor Dr Ste 3c, Rockford, IL 61107-6633 | 2009-12-18 |
1700025152 | Kathryn J Roaleen | Psychologist | 5039 10 Mile Rd Ne, Rockford, MI 49341-9301 | 2009-02-09 |
1649457987 | Abigail Guevara Hansen | Psychologist | 16 N Monroe St, Rockford, MI 49341-1228 | 2008-01-29 |
1992831358 | Deena Iris Cantu Plews | Psychologist | 16 N Monroe, Rockford, MI 49341 | 2007-02-27 |
1508928482 | Brian John Seely | Psychologist | 7465 Sunfish Lake Ct Ne, Rockford, MI 49341-9074 | 2006-12-15 |
1245331149 | Peter J Birkeland | Psychologist | 16 North Monroe, Rockford, MI 49341 | 2006-09-26 |
Find all providers in ROCKFORD |
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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.