Active NPI
Lindsay Nicole Martinez, PSY.D.
- Clinical Psychologist
- Gate City, VA
National Provider Identifier
1235489634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 081005796
- Practice address
- 190 Beech Street
Suite 102
Gate City, VA 24251-3600 - Phone
- (276) 386-3803
- Fax
- (276) 386-2116
- NPI assigned
- Sep 12, 2012
- Last updated
- Apr 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 081005796 | VA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
190 Beech Street
Suite 102
Gate City, VA 24251-3600
Mailing address
508 E. Unaka Avenue
Johnson City, TN 37601
Phone (276) 328-8012
Other practice location 1
1006 US Highway 23 North
Weber City, VA 24290-7021
Phone (276) 225-0976
Other names 1
- Lindsay Nicole Castillo-Martinez
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081005796 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1235489634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 E. UNAKA AVENUE",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "37601",
"telephone_number": "276-328-8012",
"fax_number": "276-386-2116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 BEECH STREET",
"address_2": "SUITE 102",
"city": "GATE CITY",
"state": "VA",
"postal_code": "242513600",
"telephone_number": "276-386-3803",
"fax_number": "276-386-2116"
}
],
"practiceLocations": [
{
"address_1": "1006 US Highway 23 North",
"address_purpose": "LOCATION",
"city": "Weber City",
"state": "VA",
"postal_code": "242907021",
"country_code": "US",
"telephone_number": "276-225-0976",
"fax_number": "423-467-3644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTINEZ",
"first_name": "LINDSAY",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-12",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "081005796",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LINDSAY",
"last_name": "CASTILLO-MARTINEZ",
"middle_name": "NICOLE",
"credential": "PSY.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gate City, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.