Individual provider Active NPI

Philippe Martineau, MD

  • Psychiatry Physician
  • Palm Beach Gardens, FL
National Provider Identifier
1073516522
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0074365 Issued in FL
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

Updated by the provider on Jan 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
217787OtherFLAMERIGROUP
254615900MedicaidFL
299940OtherFLMAGELLAN
193133OtherFLWELLCARE
1187OtherFLMENTAL HEALTH NETWORK
15-57913OtherFLUNITED BEHAVIORAL HEALTH
44718OtherFLBCBS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040331000123 FL Practitioner - Psychiatry 2466444575 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
ME0074365FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phillippe Martineau MD. Inc CurrentSince Sep 26, 2012 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.

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

Verify at the official NPI Registry.