Active NPIIndividual providerSole proprietor

Dr. Jeanette B Trujillo, PSYD

Psychologist, Clinical in Stamford, Connecticut

NPI Number1316107402
Practice location
1177 High Ridge RD., Suite 240, Stamford, CT 06905
Fax
—
Last updated
December 6, 2021

Jeanette B. Trujillo is a Psychologist, Clinical based in Stamford, CT. Jeanette B. Trujillo practices in Stamford, CT and has the professional credentials of PSYD. The NPI Number for Jeanette B. Trujillo is 1316107402 and holds a License No. 002867 (CT). The current practice location address for Jeanette B. Trujillo is 1177 High Ridge RD., Suite 240, Stamford, CT 06905 and can be reached out via phone at 203-912-2039.

Provider Profile Details

NPI Number
1316107402
Provider Name
Jeanette B. Trujillo
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
1177 High Ridge RD., Suite 240, Stamford, CT 06905
Phone Number
203-912-2039
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
June 11, 2008
Last Update Date
December 6, 2021
Certification Date
December 6, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1177 High Ridge RD.
Suite 240
Stamford, CT 06905
Zip
06905
Phone Number
203-912-2039
Stamford, CT 06905Get directions →

Provider Business Mailing Address Details

Address
1177 High Ridge RD.
Suite 240
Stamford, CT 06905
City
Stamford
State
CT
Zip
06905
Phone Number
203-912-2093

License Information

License Number (1)
002867
License State (1)
CT
Taxonomy (1)
Psychologist · 103T00000X
License Number (2)
002867
License State (2)
CT
Taxonomy (2)
Psychologist, Clinical · 103TC0700X
License Number (3)
016860
License State (3)
NY
Taxonomy (3)
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jeanette B Trujillo, PSYD?

The NPI number of Dr. Jeanette B Trujillo, PSYD is 1316107402. It was assigned on June 11, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Jeanette B Trujillo, PSYD?

Dr. Jeanette B Trujillo, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in CT under license number 002867.

Where does Dr. Jeanette B Trujillo, PSYD practice?

The practice location is 1177 High Ridge RD., Suite 240, Stamford, CT 06905. The office can be reached at 203-912-2039 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316107402 directly on the NPPES registry website.

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