Individual provider Active NPI

James Alton Martin, PH.D.

  • Clinical Psychologist
  • Glasgow, MT
National Provider Identifier
1225062300
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY-PSY-LIC-2505 Issued in MT
Practice address
221 5TH Ave S
Glasgow, MT 59230-2600
Phone
(770) 536-0977
Fax
(770) 536-0976
NPI assigned
Jul 11, 2006
Last updated
Aug 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY-PSY-LIC-2505 MT Primary

Addresses

Primary practice location

221 5TH Ave S
Glasgow, MT 59230-2600

Mailing address

221 5TH Ave S
Glasgow, MT 59230-2600
Phone (770) 536-0977

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address glasgowclinicpc@direct-address.net Direct

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20180515002182 MT Practitioner - Clinical Psychologist 0941194161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frances Mahon Deaconess HospitalGroup PAC ID 3173430949, 38 clinicians

Practice addresses (Care Compare)

221 5TH Ave S
Glasgow, MT 59230-2600
Phone (406) 228-3400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Frances Mahon Deaconess Hospital CurrentSince May 14, 2018 Accepting new patients
Frances Mahon Deaconess Hospital CurrentSince May 14, 2018 Accepting new patients
Frances Mahon Deaconess Hospital Current Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

221 5th Ave S
Glasgow, MT 59230
Phone (406) 228-3400

Interoperability endpoints

  • Direct secure messaging: glasgowclinicpc@direct-address.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1225062300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 5TH AVE S",
            "city": "GLASGOW",
            "state": "MT",
            "postal_code": "592302600",
            "telephone_number": "770-536-0977",
            "fax_number": "770-536-0976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 5TH AVE S",
            "city": "GLASGOW",
            "state": "MT",
            "postal_code": "592302600",
            "telephone_number": "770-536-0977",
            "fax_number": "770-536-0976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JAMES",
        "middle_name": "ALTON",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MT",
            "license": "PSY-PSY-LIC-2505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "glasgowclinicpc@direct-address.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "221 5th Ave S",
            "city": "Glasgow",
            "state": "MT",
            "country_code": "US",
            "postal_code": "592302600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glasgow, MT

Sources for this page

Verify at the official NPI Registry.