Active NPI
Philippe Martineau, MD
- Psychiatry Physician
- Palm Beach Gardens, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME0074365
- Practice address
- 4595 Northlake Blvd
Ste 116
Palm Beach Gardens, FL 33418-4647 - Phone
- (561) 844-6005
- Fax
- (561) 844-0056
- NPI assigned
- May 27, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME0074365 | FL | Primary |
Addresses
Primary practice location
4595 Northlake Blvd
Ste 116
Palm Beach Gardens, FL 33418-4647
Mailing address
4595 Northlake Blvd
Ste 116
Palm Beach Gardens, FL 33418-4647
Phone (561) 844-6005
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 217787 | Other | FL | AMERIGROUP |
| 254615900 | Medicaid | FL | |
| 299940 | Other | FL | MAGELLAN |
| 193133 | Other | FL | WELLCARE |
| 1187 | Other | FL | MENTAL HEALTH NETWORK |
| 15-57913 | Other | FL | UNITED BEHAVIORAL HEALTH |
| 44718 | Other | FL | BCBS OF FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4595 Northlake Blvd
Suite 116
Palm Beach Gardens, FL 33418-4647
Phone (561) 844-6005
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0074365 | FL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phillippe Martineau MD. Inc | Current | Accepting new patients |
Locations
4595 Northlake Blvd
Ste 116
Palm Beach Gardens, FL 33418
Phone (561) 844-6005
2151 45th St
Ste 210
West Palm Beach, FL 33407
Phone (561) 285-3623
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Assisted Living Facility
- West Palm Beach, FL
- NPI 1952658551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483660800000",
"number": "1073516522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4595 NORTHLAKE BLVD",
"address_2": "STE 116",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334184647",
"telephone_number": "561-844-6005",
"fax_number": "561-844-0056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4595 NORTHLAKE BLVD",
"address_2": "STE 116",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334184647",
"telephone_number": "561-844-6005",
"fax_number": "561-844-0056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEAU",
"first_name": "PHILIPPE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2017-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME0074365",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "217787",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "254615900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "299940",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "193133",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MENTAL HEALTH NETWORK",
"identifier": "1187",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "15-57913",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "44718",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.