Ms. Trina Binta Bascom
Nurse Practitioner - Psych/Mental Health
11207 Rockaway Blvd, South Ozone Park
New York, 11420-1031
917-361-4502
Ms. Trina Binta Bascom is a South Ozone Park, New York based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Ms. Trina Binta Bascom is 402773 for Psych/Mental Health in New York. Her current practice location is 11207 Rockaway Blvd, South Ozone Park. Patients can reach her at 917-361-4502 with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1659842078.
Ms. Trina Binta Bascom provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Ms. Trina Binta Bascom speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Ms. Trina Binta Bascom |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Female |
| Practice Address: | 11207 Rockaway Blvd, South Ozone Park,
New York, 11420-1031 |
| Phone: | 917-361-4502 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1659842078 |
| NPI Enumeration Date: | 11 Dec, 2018 |
| NPI Last Update On: | 27 Jun, 2022 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Trina Binta Bascom are as mentioned below.
| License Number | Specialization | State | Status | |
| 402773 | Psych/Mental Health | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Trina Binta Bascom such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 610850 | Medicaid | New York | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ms. Trina Binta Bascom
11207 Rockaway Blvd,
South Ozone Park, New York |
| Zip: | 11420-1031 |
Patients can reach Ms. Trina Binta Bascom at
11207 Rockaway Blvd, South Ozone Park, New York or can
call to book an appointment on 917-361-4502.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.