TRINITY FAITH-BASED UNIVERSITY
NPI 1124436936
Psychologist - Health Service in Gary, IN

Q: What is Trinity Faith-Based University's NPI number?

The NPI number for Trinity Faith-Based University is 1124436936. It was assigned to this organization in the NPPES registry on July 24, 2014.

Q: What is Trinity Faith-Based University's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Active since July 24, 2014

839 BROADWAY, SUITE 104, GARY, IN 46402(219) 882-4010(219) 882-0210 Get Directions Write a Review

NPPES record last updated: July 24, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Trinity Faith-based University NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRINITY FAITH-BASED UNIVERSITY (NPI 1124436936) is a healthcare organization registered as a health service in Gary, Indiana and active in the NPI registry since July 2014. The organization lists Darcelmarie Smith, President, as its authorized official.

NPPES Registry Identity

NPI1124436936

Entity TypeOrganization

Primary Taxonomy103TH0100X

Legal Business NameTRINITY FAITH-BASED UNIVERSITY

Location Address839 BROADWAY, SUITE 104Gary, IN 46402-2414

Mailing Address839 Broadway, Suite 104Gary, IN 46402-2414 · (219) 882-4010 · Fax (219) 882-0210

Phone(219) 882-4010

Fax(219) 882-0210

Organization SubpartNo

Authorized OfficialDarcelmarie SmithPresident · (219) 882-4010

Enumeration DateJuly 24, 2014

✔ NPI 1124436936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers

Taxonomy Code103TH0100X

License✔ Licensed in IN · 20041768A

Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

839 BROADWAY, Gary, IN 46402

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LECHRISTIEN RENEE BOX MA

Counselor (Mental Health)

839 BROADWAY, STE. 104
GARY, IN 46402

Lake County (219) 882-4010

CARRIE MARIE SOICIAL SERVICE AGENCY

Counselor (Addiction (Substance Use Disorder))

839 BROADWAY, SUITE N107
GARY, IN 46402

Lake County (312) 468-5336

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trinity Faith-Based University's NPI number?

The NPI number for Trinity Faith-Based University is 1124436936. It was assigned to this organization in the NPPES registry on July 24, 2014.

Where is Trinity Faith-Based University located?

Trinity Faith-Based University is located at 839 Broadway Suite 104, Gary, IN 46402. The listed phone number is (219) 882-4010.

What is Trinity Faith-Based University's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

When was this NPI record last updated?

The NPPES record for Trinity Faith-Based University was last updated on July 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.