Patricia Martin Professional Corporation

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

PATRICIA MARTIN PROFESSIONAL CORPORATION

Practice address

800 E High St
Charlottesville, VA 22902-5126

Phone

(310) 991-2632

NPI assigned

Feb 10, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Patricia Martin, PSYD

Title

President

Phone

(310) 991-2632

Specialties & licenses 1

Addresses

Other names 1

• Patricia Martin Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1073145850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E HIGH ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025126",
            "telephone_number": "310-991-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E HIGH ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025126",
            "telephone_number": "310-991-2632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11911 San Vicente Blvd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900496619",
            "country_code": "US",
            "telephone_number": "310-991-2632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATRICIA MARTIN PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-991-2632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patricia Martin",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Vivek Patel, DO
• Jennifer L Paterson
• Pathways Behavioral Health Services LLC
• Mohana Rao Patibandla, MD
• Pooja Patil
• Peter D. Patrick, PHD
• Jaclyn Woodyatt Patrizia, M.A., CCC-SLP
• Lisa Patrizia, LPC, LPCC
• Allison W. Patrizio, AG-ACNP
• Michael Ryan Patrizio

• Psychologist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.