NPIMap

Organization Active NPI

Linda Martin,PH.D., P.a.

  • Case Management Agency
  • Cocoa, FL
National Provider Identifier
1144464637
Registry record updated Apr 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
PY3875 Issued in FL
Legal business name
LINDA MARTIN,PH.D., P.A.
Practice address
317 Riveredge Blvd
Ste. 104
Cocoa, FL 32922-7988
Phone
(321) 433-1466
NPI assigned
Apr 28, 2009
Last updated
Apr 28, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2009

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

Authorized official

Name
Dr. Linda MartinNPI 1245244714
Title
Psychologist
Phone
(321) 433-1466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X PY3875 FL Primary

Addresses

Primary practice location

317 Riveredge Blvd
Ste. 104
Cocoa, FL 32922-7988

Mailing address

317 Riveredge Blvd
Ste. 104
Cocoa, FL 32922-7988

National Provider Directory

National Provider Directory

Locations

317 River Edge Blvd
Ste 104
Cocoa, FL 32922
Phone (321) 252-8141

Practitioners & affiliated clinicians

Practitioners 1

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": "1240876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240876800000",
    "number": "1144464637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 RIVEREDGE BLVD",
            "address_2": "STE. 104",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 RIVEREDGE BLVD",
            "address_2": "STE. 104",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329227988",
            "telephone_number": "321-433-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINDA MARTIN,PH.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-04-28",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "321-433-1466",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": "PY3875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.