JUSTIN JAMES TREVINO (NPI# 1841359031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841359031 |
| Entity Type | Individual |
| Full Name | JUSTIN JAMES TREVINO |
| Credential | M.D. |
| Practice Address |
4075 Old Western Row Rd Mason OH 45040-3104 |
| Practice Telephone | 5135360641 |
| Practice Fax Number | 5135360619 |
| Mailing Telephone | 5135360641 |
| Mailing Fax Number | 5135360619 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2009-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
35058370 | OH | Allopathic & Osteopathic Physicians |
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
35058370 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
4075 OLD WESTERN ROW RD |
| City | MASON |
| State | OH |
| Zip Code | 45040-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891793220 | Carol Blankemeyer Dewald | Registered Nurse | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2005-07-11 |
| 1477171346 | Kimberly Spivey | Registered Nurse | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2020-07-08 |
| 1154989663 | Jessica Lynn Kraft | Nurse Practitioner | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2019-05-30 |
| 1447816905 | Allison Mecca | Psychologist | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2019-05-10 |
| 1407353618 | Erin Catherine Snider | Nurse Practitioner | 4075 Old Western Row Rd, Mason, OH 45040 | 2018-04-12 |
| 1356849384 | Stephanie Paige Kisling | Case Manager/Care Coordinator | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2018-01-24 |
| 1982127122 | Danielle Beltz | Nurse Practitioner | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2017-07-19 |
| 1023539517 | Anna Ward | Registered Nurse | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2017-07-05 |
| 1912433574 | Jennifer Milau | Registered Nurse | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2017-05-02 |
| 1215476767 | Jennifer B Wilcox | Psychologist | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2017-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336633882 | Jarek Beegan | Specialist/Technologist, Other | 8188 Corporate Way, Mason, OH 45040 | 2018-06-19 |
| 1548771439 | Jeanene Gibson | Registered Nurse | 9945 Coventry Court, Mason, OH 45040 | 2017-10-18 |
| 1093249898 | Peace of Mind Care Services, Inc. | Community/Behavioral Health | 5180 Cedar Village Drive, Suite A, Mason, OH 45040 | 2017-04-18 |
| 1477938736 | Justin William Florek | Chiropractor | 6213 Snider Road, Mason, OH 45040 | 2015-07-28 |
| 1730562729 | Alexandra Courts | Physical Therapist | 5267 Joseph Ln, Mason, OH 45040 | 2015-07-08 |
| 1982083531 | Nicole Roether | Specialist/Technologist | 5236 Socialville-foster Road, Mason, OH 45040 | 2015-05-28 |
| 1568849123 | Alissa Marie Conde | Pediatrics | 9560 Children's Drive, Mason, OH 45040 | 2015-05-04 |
| 1205220696 | Elizabeth Barnes | Pain Medicine | 3611 Socialville-foster Rd, Suite 101, Mason, OH 45040 | 2015-03-24 |
| 1669864807 | Lang Truong | Pharmacist | 5542 Red Fox Ct, Mason, OH 45040 | 2015-02-25 |
| 1295133668 | Gregory Carr | Psychologist | 4569 Wesley Ct, Mason, OH 45040 | 2014-12-16 |
| Find all providers in zip 45040 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807680 | Mitef Enterprise Inc | Psychiatry & Neurology | 90 Brittony Woods Dr, Monroe, OH 45050-2204 | 2020-10-06 |
| 1366060717 | Pelt Clinic for Addiction and Mental Health Recovery | Psychiatry & Neurology | 134 Northwoods Blvd Ste B1, Columbus, OH 43235-4727 | 2020-07-13 |
| 1760839096 | Eden Counseling Centers LLC Addiction Recovery | Psychiatry & Neurology | 8794 Big Bear Avenue, Powell, OH 43065-9113 | 2016-05-17 |
| 1043607500 | Scott Gspandl | Psychiatry & Neurology | 5141 W Broad St Ste 115, Columbus, OH 43228-1992 | 2015-04-22 |
| 1871803767 | Dominic Gomes Md Inc | Psychiatry & Neurology | 1701 Allen Dr, Westlake, OH 44145-2508 | 2010-10-14 |
| 1205077336 | Lurley J. Archambeau Md | Psychiatry & Neurology | 6450 Weatherfield Ct., Ste. 1b, Maumee, OH 43537-8919 | 2009-03-19 |
| 1023266533 | Muhannad Kassawat | Psychiatry & Neurology | 11369 Market St, North Lima, OH 44452-9782 | 2008-09-09 |
| 1508948126 | Abdelrhman A Soliman | Psychiatry & Neurology | 8833 Chapelsquare Ln, Cincinnati, OH 45249-4705 | 2006-10-20 |
| 1437157294 | Richard Whitney | Psychiatry & Neurology | 200 Messimer Dr, Newark, OH 43055-3627 | 2005-07-14 |
| 1861054744 | Savida Agency, Inc. | Psychiatry & Neurology | 4421 Roosevelt Blvd Ste A, Middletown, OH 45044-9024 | 2019-07-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JUSTIN JAMES TREVINO.
| 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.