Active NPI
Mindy W. Martin, PH.D.
- Audiologist
- Palm Beach, FL
National Provider Identifier
1043417231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY1290
- Practice address
- 205 Worth Ave
Suite 201
Palm Beach, FL 33480-4606 - Phone
- (561) 315-6378
- Fax
- (561) 833-5825
- NPI assigned
- Jun 29, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY1290 | FL | Primary |
| Audiologist | 231H00000X | 000377-1 | NY |
Addresses
Primary practice location
205 Worth Ave
Suite 201
Palm Beach, FL 33480-4606
Mailing address
205 Worth Ave
Suite 201
Palm Beach, FL 33480-4606
Phone (561) 315-6378
Other names 1
- Dr. Mindy W. Sirlin
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AY1290 | FL | MD | Audiologist |
| 000377-1 | NY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Beach Facial Plastic Surgery LLC | Past | Accepting new patients | |
| Palm Beach Ear, Nose & Throat Association PA | Past | Accepting new patients | |
| John C Li MD PA | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Otology & Neurotology Physician
- Jupiter, FL
- NPI 1972577872
-
- Otolaryngology Physician
- West Palm Beach, FL
- NPI 1417021015
-
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- Palm Beach Gardens, FL
- NPI 1720484686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387324800000",
"number": "1043417231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 WORTH AVE",
"address_2": "SUITE 201",
"city": "PALM BEACH",
"state": "FL",
"postal_code": "334804606",
"telephone_number": "561-315-6378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 WORTH AVE",
"address_2": "SUITE 201",
"city": "PALM BEACH",
"state": "FL",
"postal_code": "334804606",
"telephone_number": "561-315-6378",
"fax_number": "561-833-5825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "MINDY",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-29",
"last_updated": "2013-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY1290",
"primary": true
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NY",
"license": "000377-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MINDY",
"last_name": "SIRLIN",
"middle_name": "W.",
"prefix": "DR.",
"credential": "PH.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.