Jennifer Martin, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY8641 Issued in FL

Practice address

1624 NW 6TH St
Gainesville, FL 32609-3530

Phone

(352) 474-8882

NPI assigned

Nov 25, 2014

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

Other names 1

• Dr. Jennifer Alonso Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Sage Wellness, LLC

  • Mental Health Counselor
  • Gainesville, FL
  • NPI 1780335752

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547856000000",
    "number": "1104223890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 SW 98TH DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326088686",
            "telephone_number": "352-474-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 NW 6TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326093530",
            "telephone_number": "352-474-8882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3190 Radio Rd",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326112662",
            "country_code": "US",
            "telephone_number": "352-392-1575",
            "fax_number": "352-392-8452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-25",
        "last_updated": "2019-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY8641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ALONSO",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Donald G Martin, SOCIAL WORKER
• Emily Sullivan Martin, ARNP
• Isabella Alexandra Martin
• Isley Elyse Martin
• Jason Michael Martin, M.D.
• Joshua Martin
• Kaitlyn Ashley Martin, M.A., CF-SLP
• Kelley Ann Martin
• Lakaesha B Martin
• Lilla Gayle Martin, M.D.

• Clinical Psychologist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2019; 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.