Provider Demographics
NPI:1093784779
Name:TRIGANI, CHRISTOPHER T (PHD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:T
Last Name:TRIGANI
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 BRANDYWINE RD
Mailing Address - Street 2:
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-2561
Mailing Address - Country:US
Mailing Address - Phone:732-695-0980
Mailing Address - Fax:732-918-0729
Practice Address - Street 1:3430 SUNSET AVE
Practice Address - Street 2:SUITE 18A
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-3954
Practice Address - Country:US
Practice Address - Phone:732-918-0018
Practice Address - Fax:732-918-0729
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-16
Last Update Date:2010-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSI032732084F0202X, 103TB0200X, 103TC0700X, 103TC1900X, 103TC2200X, 103T00000X, 103TM1800X, 103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic Psychiatry
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP21773Medicare UPIN
NJ044394UWHMedicare ID - Type Unspecified