Individual provider Active NPI

Joselene Martinez-Correa, PSY.D.

  • Psychologist
  • Tampa, FL
National Provider Identifier
1245577261
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY10834 Issued in FL
Practice address
442 W Kennedy Blvd Ste 280
Tampa, FL 33606-1464
Phone
(813) 467-6111
NPI assigned
Jan 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 004667 PR
Psychologist 103T00000X PY10834 FL Primary

Addresses

Primary practice location

442 W Kennedy Blvd Ste 280
Tampa, FL 33606-1464

Mailing address

1936 Bruce B Downs Blvd # 325
Wesley Chapel, FL 33544-9262
Phone (973) 289-3500

Other practice location 1

1259 US Highway 46 # 100A
Parsippany, NJ 07054-4913
Phone (973) 316-9333

Other practice location 2

33 Electric Ave
Suite 3B
Fitchburg, MA 01420
Phone (978) 627-3929

Other identifiers 1

IdentifierTypeStateIssuer
113195600MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address martinez@thrivebehavioralsciences.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20201012001114 FL Practitioner - Clinical Psychologist 7810317930 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Behavioral Sciences- Orlando LLCGroup PAC ID 9739420654, 35 clinicians
Thrive Behavioral Sciences Tampa LLCGroup PAC ID 2961747506, 22 clinicians

Practice addresses (Care Compare)

4700 Millenia Blvd
Suite 500
Orlando, FL 32839-6019
Phone (813) 277-4571

5510 N Hesperides St
Tampa, FL 33614-5414
Phone (813) 277-4571

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004667PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Behavioral Sciences Orlando LLC CurrentSince Sep 14, 2021 Accepting new patients
Thrive Behavioral Sciences Tampa LLC Psychologist CurrentSince Oct 5, 2020 Accepting new patients
Sr Medical Associates LLC CurrentSince Jun 5, 2022 Accepting new patients

Locations

4700 Millenia Blvd
Ste 500
Orlando, FL 32839
Phone (813) 277-4571

4201 31st St S
St Petersburg, FL 33712
Phone (727) 867-1104

5510 N Hesperides St
Tampa, FL 33614
Phone (727) 418-2567

442 W Kennedy Blvd
Ste 280
Tampa, FL 33606
Phone (727) 418-2567

Networks

  • Freedom Health HMO Network

Organizations & group practices 6

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": "1357776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1245577261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 BRUCE B DOWNS BLVD # 325",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335449262",
            "telephone_number": "973-289-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 W KENNEDY BLVD STE 280",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336061464",
            "telephone_number": "813-467-6111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1259 US Highway 46 # 100A",
            "address_purpose": "LOCATION",
            "city": "Parsippany",
            "state": "NJ",
            "postal_code": "070544913",
            "country_code": "US",
            "telephone_number": "973-316-9333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33 Electric Ave",
            "address_2": "Suite 3B",
            "address_purpose": "LOCATION",
            "city": "Fitchburg",
            "state": "MA",
            "postal_code": "01420",
            "country_code": "US",
            "telephone_number": "978-627-3929",
            "fax_number": "978-400-5328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ-CORREA",
        "first_name": "JOSELENE",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-10",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "004667",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY10834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113195600",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "martinez@thrivebehavioralsciences.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "442 W Kennedy Blvd Ste 280",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336061464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.