TRINITY DETOX AND FAMILY CLINIC,INC.
NPI 1518654268
Nurse Practitioner - Psychiatric/Mental Health in Rosedale, MD
About Trinity Detox And Family Clinic,inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRINITY DETOX AND FAMILY CLINIC,INC. (NPI 1518654268) is a healthcare organization registered as a psychiatric/mental health in Rosedale, Maryland and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through September 24, 2027 and lists Ifeyinwa Ibeanu, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 21D2172533
Trinity Detox And Family Clinic Inc · Rosedale, MDOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROSEDALE, MD 21237
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 Detox And Family Clinic,inc.'s NPI number?
The NPI number for Trinity Detox And Family Clinic,inc. is 1518654268. It was assigned to this organization in the NPPES registry on April 21, 2023.
Where is Trinity Detox And Family Clinic,inc. located?
Trinity Detox And Family Clinic,inc. is located at 1232 Race Rd Ste 302, Rosedale, MD 21237. The listed phone number is (443) 969-2310.
What is Trinity Detox And Family Clinic,inc.'s specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Does Trinity Detox And Family Clinic,inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 21D2172533) is associated with this NPI, valid through September 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Trinity Detox And Family Clinic,inc. was last updated on April 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Trinity Detox And Family Clinic,inc. · NPI 1518654268
Psychiatric/Mental Health organization in Rosedale, Maryland. Organization record, active in the CMS NPPES registry since April 21, 2023.
## Identity
- **NPI:** 1518654268 (Entity type: Organization)
- **Enumerated:** April 21, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** Yes (part of Trinity Detox And Family Clinic ,inc)
- **Authorized official:** Ifeyinwa Ibeanu, MEDICAL DIRECTOR
## Practice location
- **Address:** 1232 RACE RD STE 302, Rosedale, MD 21237-2382
- **Phone:** (443) 969-2310
## Record status
- **NPPES last updated:** April 21, 2023
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1518654268) · Data from the CMS NPPES public registry.