Marty Enterprises, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

092 Issued in MO

Legal business name

MARTY ENTERPRISES, INC

Doing business as

Affiliated Court Services

Practice address

800 N Providence Rd
Suite 104
Columbia, MO 65203-4300

Phone

(573) 499-3784

Fax

(573) 499-3771

NPI assigned

Oct 28, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Shelley S. Riecke

Title

Director/Satop Administrator

Phone

(573) 499-3784

Specialties & licenses 1

Addresses

Other names 1

• Affiliated Court Services Doing business as

Locations

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1104079896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N PROVIDENCE RD",
            "address_2": "SUITE 104",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034300",
            "telephone_number": "573-499-3784",
            "fax_number": "573-499-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N PROVIDENCE RD",
            "address_2": "SUITE 104",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034300",
            "telephone_number": "573-499-3784",
            "fax_number": "573-499-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTY ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "RIECKE",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DIRECTOR/SATOP ADMINISTRATOR",
        "authorized_official_telephone_number": "573-499-3784",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affiliated Court Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Martinek, BCBA, LBA
• Erik Martinez, PHARMD
• Heather Martinez, NP
• Stephanie Nichole Martinez, PHARM D
• Anna-Lisa Martino, MD
• Ahmed Marwan, M.D.
• Alexander Marx, DO
• Sean M Marx, MD
• Mary K Davis DDS LLC
• Mary M. Dick, MD LLC

• Community/Behavioral Health Agency in Columbia, MO
• Providers in Columbia, MO by specialty
• Community/Behavioral Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.