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TRILLIUM SHORES, PLLC
NPI 1124906912
Psychologist - Clinical in Troy, MI

Active since August 21, 2025
100 W BIG BEAVER RD STE 200, TROY, MI 48084(248) 804-6956 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Trillium Shores, Pllc NPPES

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

TRILLIUM SHORES, PLLC (NPI 1124906912) is a healthcare organization registered as a clinical in Troy, Michigan and active in the NPI registry since August 2025. The organization lists Mackenzie Tresnak, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1124906912
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameTRILLIUM SHORES, PLLC
Location Address100 W BIG BEAVER RD STE 200Troy, MI 48084-5283
Mailing Address100 W Big Beaver Rd Ste 200Troy, MI 48084-5283
Phone(248) 804-6956
Organization SubpartNo
Authorized OfficialMackenzie TresnakPsychologist · (248) 914-1314
Enumeration DateAugust 21, 2025
NPPES CertifiedAugust 21, 2025
✔ NPI 1124906912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
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.
100 W BIG BEAVER RD STE 200, Troy, MI 48084
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

NAMIRA JADE VAUGHN
Behavior Technician
100 W BIG BEAVER RD STE 200
TROY, MI 48084
Oakland County (678) 894-1116
SHARNICE CROSS
Behavior Technician
100 W BIG BEAVER RD STE 200
TROY, MI 48084
Oakland County (973) 200-1333
MARIA LYNN MYS
Behavior Technician
100 W BIG BEAVER RD STE 200
TROY, MI 48084
Oakland County (678) 894-1116
ADEALIA BOYD
Behavior Technician
100 W BIG BEAVER RD STE 200
TROY, MI 48084
Oakland County (313) 774-2928
MICHELE DEAN
Behavior Technician
100 W BIG BEAVER RD STE 200
TROY, MI 48084
Oakland County (313) 774-2928
INDERIA SHORTER
Behavior Technician
100 W BIG BEAVER RD STE 200
TROY, MI 48084
Oakland County (973) 200-1333
ALISE ROBINSON
Behavior Technician
100 W BIG BEAVER RD STE 200
TROY, MI 48084
Oakland County (678) 894-1116
COREY NIERZWICK
Behavior Technician
100 W BIG BEAVER RD STE 200
TROY, MI 48084
Oakland County (313) 774-2928

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 Trillium Shores, PLLC's NPI number?

The NPI number for Trillium Shores, PLLC is 1124906912. It was assigned to this organization in the NPPES registry on August 21, 2025.

Where is Trillium Shores, PLLC located?

Trillium Shores, PLLC is located at 100 W Big Beaver Rd Ste 200, Troy, MI 48084. The listed phone number is (248) 804-6956.

What is Trillium Shores, PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Trillium Shores, PLLC was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.