TRINA L. GREENWALD LLC NPI 1245574516

NPI Information

  • NPI: 1245574516
  • Provider Name: TRINA L. GREENWALD LLC
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Doing Business As: SERENITY CLINIC
  • CLIA Number: 15D2099333
  • Address: 515 N BRADNER AVE
    MARION, IN
    ZIP 46952
  • Phone: (765) 664-8000

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NPI Details

TRINA L. GREENWALD LLC is a clinical psychologist in Marion, IN. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. TRINA L. GREENWALD LLC NPI is 1245574516. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Serenity Clinic.

The provider's business location address is:

515 N BRADNER AVE
MARION, IN
ZIP 46952-449
Phone: (765) 664-8000
Fax: (877) 731-2066

The provider's authorized official is Trina L Greenwald .
The authorized official title is Owner/practitioner and has the following contact phone number (765) 664-8000.

The CLIA number assigned to this NPI record is 15D2099333 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/26/2012 and was last updated on 11/24/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health71002182AINDIANANo
2364S00000XClinical Nurse Specialist28084011AINDIANANo
3103TC0700XPsychologistClinicalYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1Q76781MEDICARE UPININDIANA
2200844580MEDICAIDINDIANA
3IN1279MEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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