Stephen Kelly Martin, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

4740 Issued in TX

Practice address

3800 Paluxy Dr
Suite 450
Tyler, TX 75703-1629

Phone

(903) 258-9938

Fax

(903) 534-8104

NPI assigned

Aug 13, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in TX

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

Specialty

Clinical Psychologist

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

22.96 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

76.55

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Martin Neurobehavioral Center, PC

  • Clinical Neuropsychologist
  • Tyler, TX
  • NPI 1356573414
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144233297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 PALUXY DR",
            "address_2": "SUITE 450",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031629",
            "telephone_number": "903-258-9938",
            "fax_number": "903-534-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 PALUXY DR",
            "address_2": "SUITE 450",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031629",
            "telephone_number": "903-258-9938",
            "fax_number": "903-534-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "STEPHEN",
        "middle_name": "KELLY",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "TX",
            "license": "4740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Martin
• Scott Austin Martin, LPC INTERN
• Sevillia Martin
• Shannon L Martin, PA-C
• Stephen Bradley Martin, PHARMD
• Tameka Trenda Martin, FNP-C, AGACNP-BC
• Thalia Marie Martin, MD
• Angelina Sharese Martinez, LPC
• Betsabe Martinez
• David Martinez

• Clinical Neuropsychologist in Tyler, TX
• Providers in Tyler, TX by specialty
• Clinical Neuropsychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.