Individual provider Active NPI

Marta M. Rodriguez, PSYD

  • Clinical Psychologist
  • Amherst, MA
National Provider Identifier
1093965659
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
10300 Issued in MA
Practice address
31 Hall Dr
Amherst, MA 01002-2754
Phone
(413) 256-8561
Fax
(866) 644-0869
NPI assigned
Sep 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 10300 MA Primary

Addresses

Primary practice location

31 Hall Dr
Amherst, MA 01002-2754

Mailing address

31 Hall Dr
Amherst, MA 01002
Phone (413) 256-8561

Other practice location 1

70 Main St
Florence, MA 01062
Phone (413) 586-8400

Other practice location 2

329 Conway St
Greenfield, MA 01301-1521
Phone (413) 774-6301

Other practice location 3

238 Northampton St
Easthampton, MA 01027
Phone (413) 529-9300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160413001894 MA Practitioner - Clinical Psychologist 4880992593 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Group, P.C. Clinical CurrentSince May 20, 2019 Accepting new patients
Valley Medical Group, P.C. CurrentSince May 20, 2019 Accepting new patients

Locations

31 Hall Dr
Amherst, MA 01002
Phone (413) 256-8561

31 Hall Dr
Ste 1
Amherst, MA 01002
Phone (413) 256-8561

238 Northampton St
Easthampton, MA 01027
Phone (413) 529-9300

329 Conway St
Greenfield, MA 01301
Phone (413) 774-6301

70 Main St
Northampton, MA 01062
Phone (413) 586-8400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1093965659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 HALL DR",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "01002",
            "telephone_number": "413-256-8561",
            "fax_number": "866-644-0869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 HALL DR",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022754",
            "telephone_number": "413-256-8561",
            "fax_number": "866-644-0869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Main St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "MA",
            "postal_code": "01062",
            "country_code": "US",
            "telephone_number": "413-586-8400",
            "fax_number": "866-644-0872",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "329 Conway St",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "MA",
            "postal_code": "013011521",
            "country_code": "US",
            "telephone_number": "413-774-6301",
            "fax_number": "866-644-0871",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "238 Northampton St",
            "address_purpose": "LOCATION",
            "city": "Easthampton",
            "state": "MA",
            "postal_code": "01027",
            "country_code": "US",
            "telephone_number": "413-529-9300",
            "fax_number": "866-644-0870",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MARTA",
        "middle_name": "M.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-19",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, MA

Sources for this page

Verify at the official NPI Registry.