Healthcare Provider Details

I. General information

NPI: 1245751916
Provider Name (Legal Business Name): RENEE TRINGALI PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/03/2017
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30472 23 MILE RD
CHESTERFIELD MI
48047-1844
US

IV. Provider business mailing address

21730 KELLY RD
EASTPOINTE MI
48021-2703
US

V. Phone/Fax

Practice location:
  • Phone: 586-863-4000
  • Fax: 586-863-4004
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number4704321301
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4704321301
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: