Individual provider Active NPI

Elizabeth McGee Martin, PH.D.

  • Clinical Psychologist
  • Cary, NC
National Provider Identifier
1225214737
Registry record updated Oct 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
102751 Issued in NC
Practice address
201 Shannon Oaks Cir
Ste 200
Cary, NC 27511-5570
Phone
(919) 622-1303
NPI assigned
Jan 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2009

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 102751 NC Primary

Addresses

Primary practice location

201 Shannon Oaks Cir
Ste 200
Cary, NC 27511-5570

Mailing address

201 Shannon Oaks Cir
Ste 200
Cary, NC 27511-5570
Phone (919) 622-1303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20130201000101 NC Practitioner - Clinical Psychologist 3678727443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

319 Court SQ
Sanford, NC 27330-5658
Phone (919) 802-8828

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102751NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth McGee Martin PHD PLLC Clinical CurrentSince Sep 11, 2015 Accepting new patients

Locations

319 Court Sq
Sanford, NC 27330
Phone (919) 292-1464

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1225214737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SHANNON OAKS CIR",
            "address_2": "STE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115570",
            "telephone_number": "919-622-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SHANNON OAKS CIR",
            "address_2": "STE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275115570",
            "telephone_number": "919-622-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ELIZABETH",
        "middle_name": "MCGEE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "102751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.