Provider Demographics
NPI:1477722197
Name:HERBERT P. TRIER, M.D.
Entity Type:Organization
Organization Name:HERBERT P. TRIER, M.D.
Other - Org Name:ASSOCIATED PSYCHIATRIC SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:P
Authorized Official - Last Name:TRIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:260-490-8110
Mailing Address - Street 1:310 E DUPONT RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46825-2048
Mailing Address - Country:US
Mailing Address - Phone:260-490-8110
Mailing Address - Fax:260-490-7707
Practice Address - Street 1:310 E DUPONT RD
Practice Address - Street 2:SUITE 2
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46825-2048
Practice Address - Country:US
Practice Address - Phone:260-490-8110
Practice Address - Fax:260-490-7707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-27
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39000082A101YM0800X
IN20010504103TC0700X
IN35000290A1041C0700X
IN34001252A1041C0700X
IN34005094A1041C0700X
IN010177842084P0800X
IN1032404A2084P0800X
IN01030633A2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
176530OtherMEDICARE
IN200300080AMedicaid
INB28089Medicare UPIN