Organization Active NPI

Martinich Enterprises, LLC

  • Clinical Psychologist
  • Colorado Springs, CO
National Provider Identifier
1114488624
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MARTINICH ENTERPRISES, LLC
Practice address
5825 Delmonico Dr Ste 105
Colorado Springs, CO 80919-2243
Phone
(719) 339-9537
NPI assigned
Mar 27, 2019
Last updated
Jan 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Authorized official

Name
Matthew MartinichNPI 1619326451
Title
Ceo
Phone
(719) 339-9537

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

5825 Delmonico Dr Ste 105
Colorado Springs, CO 80919-2243

Mailing address

5825 Delmonico Dr Ste 105
Colorado Springs, CO 80919-2243
Phone (719) 339-9537

Other identifiers 1

IdentifierTypeStateIssuer
9000169389MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210622002767 CO Part B Supplier - Clinic/Group Practice 9830590397 Receives reassigned benefits from 3 practitioners
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

5825 Delmonico Dr
Ste 105
Colorado Springs, CO 80919
Phone (717) 856-1135

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1114488624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 DELMONICO DR STE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192243",
            "telephone_number": "719-339-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 DELMONICO DR STE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192243",
            "telephone_number": "719-339-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINICH ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-27",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "MARTINICH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-339-9537"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000169389",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.