Individual provider Active NPI

Cecelia Lori Dodson Martinez, SCHOOL PSYCHOLOGIST

  • School Psychologist
  • Gilbert, AZ
National Provider Identifier
1144365883
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
D04598197 Issued in AZ
Practice address
2034 S Lindsay Rd
South Valley Junior High
Gilbert, AZ 85296
Phone
(480) 855-0015
Fax
(480) 855-3542
NPI assigned
Feb 20, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X D04598197 AZ Primary

Addresses

Primary practice location

2034 S Lindsay Rd
South Valley Junior High
Gilbert, AZ 85296

Mailing address

140 S Gilbert Road
Gilbert Public Schools Medicaid SBCP
Gilbert, AZ 85296
Phone (480) 545-3826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D04598197AZMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144365883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 S GILBERT ROAD",
            "address_2": "GILBERT PUBLIC SCHOOLS MEDICAID SBCP",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85296",
            "telephone_number": "480-545-3826",
            "fax_number": "480-813-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 S LINDSAY RD",
            "address_2": "SOUTH VALLEY JUNIOR HIGH",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "85296",
            "telephone_number": "480-855-0015",
            "fax_number": "480-855-3542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODSON MARTINEZ",
        "first_name": "CECELIA",
        "middle_name": "LORI",
        "name_prefix": "Mrs.",
        "credential": "SCHOOL PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "AZ",
            "license": "D04598197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.