Stacy Martin, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS017666 Issued in PA

Practice address

6666 Passer Rd Ste 2
Coopersburg, PA 18036-1258

Phone

(484) 935-3434

Fax

(484) 544-3901

NPI assigned

Aug 25, 2015

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Lehigh Valley Child Psychology Center LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Coopersburg, PA
  • NPI 1457852568
  NPD (past) Authorized official

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1083081020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4890 MAJESTIC DR",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "180368722",
            "telephone_number": "610-295-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6666 PASSER RD STE 2",
            "city": "COOPERSBURG",
            "state": "PA",
            "postal_code": "180361258",
            "telephone_number": "484-935-3434",
            "fax_number": "484-544-3901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1040 Chestnut St",
            "address_2": "Lehigh Psychological Services",
            "address_purpose": "LOCATION",
            "city": "Emmaus",
            "state": "PA",
            "postal_code": "180491952",
            "country_code": "US",
            "telephone_number": "610-966-5188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "STACY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS017666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lingle
• Scott Link Sr., LMT
• Lower Milford Township Fire Co No 1
• Andrea Lycette
• Carol Macomb
• Cynthia L Mascaro
• Tammy McCullough, RD, LDN,CHC
• Alycha Lee McKinney, DSW, LCSW
• Joan T Metter, RN
• Nancy Elizabeth Miller, PSY.D.

• Psychologist in Coopersburg, PA
• Providers in Coopersburg, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.