Michael Martin, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

024653 Issued in NY

Practice address

37 Friar Tuck Way
Saratoga Springs, NY 12866-6165

Phone

(518) 238-6028

Fax

(518) 348-1279

NPI assigned

Jan 17, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1225789779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 FRIAR TUCK WAY",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666165",
            "telephone_number": "518-238-6028",
            "fax_number": "518-348-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 FRIAR TUCK WAY",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666165",
            "telephone_number": "518-238-6028",
            "fax_number": "518-348-1279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MICHAEL",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "024653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly A Mariotti, PTA
• Marisa Wolff DO PLLC
• Marker 28 LLC
• Kimberly L Marks, LCSW
• Kevin Martin, M.D.
• Martins Foods of South Burlington LLC
• Maryam Hariri
• Jennifer Szymanski Mashaw, PT
• Erica Masterson, MS RD CDN
• David Matthew Mastrianni, MD

• Clinical Psychologist in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.

Verify at the official NPI Registry.