Active NPI
Carmen K Martinez
- Behavior Analyst
- Worcester, MA
National Provider Identifier
1023470101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-67634
- Practice address
- 46 Harlem St Apt 3
Worcester, MA 01610-3382 - Phone
- (508) 579-7150
- NPI assigned
- Mar 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | |||
| Behavior Analyst | 103K00000X | 1-23-67634 | MA | Primary |
Addresses
Primary practice location
46 Harlem St Apt 3
Worcester, MA 01610-3382
Mailing address
225 Cedar Hill St Ste 200
Marlborough, MA 01752-5900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705881600000",
"number": "1023470101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 CEDAR HILL ST STE 200",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "017525900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 HARLEM ST APT 3",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016103382",
"telephone_number": "508-579-7150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "CARMEN",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-28",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MA",
"license": "1-23-67634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.