Active NPI
Martha Cravens, PHD
- Clinical Psychologist
- Los Altos, CA
National Provider Identifier
1063656148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY24041
- Practice address
- 350 2ND St
Suite 1
Los Altos, CA 94022-3695 - Phone
- (650) 504-6781
- NPI assigned
- Apr 21, 2009
- Last updated
- May 4, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY24041 | CA | Primary |
Addresses
Primary practice location
350 2ND St
Suite 1
Los Altos, CA 94022-3695
Mailing address
350 2ND St
Suite 1
Los Altos, CA 94041-3602
Phone (650) 504-6781
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 430062AN | Other | CA | MEDICAL |
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 |
|---|---|---|---|
| PSY24041 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304467200000",
"number": "1063656148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 2ND ST",
"address_2": "SUITE 1",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940413602",
"telephone_number": "650-504-6781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 2ND ST",
"address_2": "SUITE 1",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940223695",
"telephone_number": "650-504-6781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAVENS",
"first_name": "MARTHA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-21",
"last_updated": "2011-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY24041",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "430062AN",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Altos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.