Active NPI
Carmen A Orellana Martinez, M.D.
- Child & Adolescent Psychiatry Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 036-138136
- Practice address
- 109 W 27TH St RM 5S
New York, NY 10001-6208 - Phone
- (833) 351-8255
- NPI assigned
- Jul 10, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 74949 | TN | |
| Psychiatry Physician | 2084P0800X | 036-138136 | IL | |
| Psychiatry Physician | 2084P0800X | 319502 | NY | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 036-138136 | IL | Primary |
Addresses
Primary practice location
109 W 27TH St RM 5S
New York, NY 10001-6208
Mailing address
109 W 27TH St
New York, NY 10001-0265
Other practice location 1
315 Deaderick St Ste 1550
Nashville, TN 37238-3003
Phone (833) 351-8255
Other practice location 2
6200 Hospitality Dr Fl 1
Franklin, TN 37067-5023
Phone (833) 351-8255
Other practice location 3
250 Parkway Dr Ste 150
Lincolnshire, IL 60069-4340
Phone (833) 351-8255
Other practice location 4
206 N Randolph St Ste 2
Champaign, IL 61820-3976
Phone (833) 351-8255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-138136 | IL | MD | Psychiatry Physician |
| 74949 | TN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCCD FL Psychiatry Services PA | Psychiatry | Current | Accepting new patients |
| Board of Trustees of Southern Illinois University | Current | Accepting new patients | |
| Locust Street Resource Center | Current | Accepting new patients | |
| Board of Trustees of Southern Illinois University | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Psychiatry | Current | Accepting new patients |
| Board of Trustees of Southern Illinois University | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients | |
| MCCD Psychiatry Services PLLC | Psychiatry | Current | Accepting new patients |
Locations
320 S Locust St
Carlinville, IL 62626
Phone (217) 854-3166
206 N Randolph St
Ste 2
Champaign, IL 61820
Phone (540) 892-0910
250 Parkway Dr
Ste 150
Lincolnshire, IL 60069
Phone (847) 480-1346
751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182
319 E Madison St
Fl 3
Springfield, IL 62701
Phone (217) 545-7627
520 N 4th St
Springfield, IL 62702
Phone (217) 757-8100
109 W 27th St
#55
New York, NY 10001
109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572
109 W 27th St
New York, NY 10001
Phone (332) 206-6054
6200 Hospitality Dr
Fl 1
Franklin, TN 37067
315 Deaderick St
Ste 1550
Nashville, TN 37238
Phone (615) 554-3233
Organizations & group practices 8
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.
-
- Primary Care Clinic/Center
- Springfield, IL
- NPI 1396097960
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Carlinville, IL
- NPI 1558456210
-
- Endocrinology, Diabetes & Metabolism Physician
- Springfield, IL
- NPI 1558385989
Psychiatry
-
- Federally Qualified Health Center (FQHC)
- Quincy, IL
- NPI 1376921924
-
- Federally Qualified Health Center (FQHC)
- Carbondale, IL
- NPI 1568210425
-
- Durable Medical Equipment & Medical Supplies
- Springfield, IL
- NPI 1164055976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1205191988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 W 27TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100010265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 W 27TH ST RM 5S",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100016208",
"telephone_number": "833-351-8255"
}
],
"practiceLocations": [
{
"address_1": "315 Deaderick St Ste 1550",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372383003",
"country_code": "US",
"telephone_number": "833-351-8255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6200 Hospitality Dr Fl 1",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "TN",
"postal_code": "370675023",
"country_code": "US",
"telephone_number": "833-351-8255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "250 Parkway Dr Ste 150",
"address_purpose": "LOCATION",
"city": "Lincolnshire",
"state": "IL",
"postal_code": "600694340",
"country_code": "US",
"telephone_number": "833-351-8255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "206 N Randolph St Ste 2",
"address_purpose": "LOCATION",
"city": "Champaign",
"state": "IL",
"postal_code": "618203976",
"country_code": "US",
"telephone_number": "833-351-8255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORELLANA MARTINEZ",
"first_name": "CARMEN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-10",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "74949",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036-138136",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "319502",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "IL",
"license": "036-138136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.