Active NPI
Rebecca Schenk Martin
- Psychologist
- Charlotte, NC
National Provider Identifier
1225697071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 1401 E 7TH St
Charlotte, NC 28204-6300 - Phone
- (704) 780-4271
- NPI assigned
- Jun 6, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
1401 E 7TH St
Charlotte, NC 28204-6300
Mailing address
1766 Deep Cove Dr
Conover, NC 28613-8775
Phone (828) 612-1211
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732579200000",
"number": "1225697071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1766 DEEP COVE DR",
"city": "CONOVER",
"state": "NC",
"postal_code": "286138775",
"telephone_number": "828-612-1211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 E 7TH ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282046300",
"telephone_number": "704-780-4271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHENK MARTIN",
"first_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-06",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.