Healthcare Provider Details
I. General information
NPI: 1093784779
Provider Name (Legal Business Name): CHRISTOPHER T. TRIGANI PH.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 03/16/2006
Last Update Date: 07/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3430 SUNSET AVE SUITE 18A
OCEAN NJ
07712-3954
US
IV. Provider business mailing address
24 BRANDYWINE RD
OCEAN NJ
07712-2561
US
V. Phone/Fax
- Phone: 732-918-0018
- Fax: 732-918-0729
- Phone: 732-695-0980
- Fax: 732-918-0729
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | SI03273 |
| License Number State | NJ |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TB0200X |
| Taxonomy | Cognitive & Behavioral Psychologist |
| License Number | SI03273 |
| License Number State | NJ |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | SI03273 |
| License Number State | NJ |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC1900X |
| Taxonomy | Counseling Psychologist |
| License Number | SI03273 |
| License Number State | NJ |
| # 5 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC2200X |
| Taxonomy | Clinical Child & Adolescent Psychologist |
| License Number | SI03273 |
| License Number State | NJ |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TM1800X |
| Taxonomy | Intellectual & Developmental Disabilities Psychologist |
| License Number | SI03273 |
| License Number State | NJ |
| # 7 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TS0200X |
| Taxonomy | School Psychologist |
| License Number | SI03273 |
| License Number State | NJ |
| # 8 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084F0202X |
| Taxonomy | Forensic Psychiatry Physician |
| License Number | SI03273 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: