Individual provider Active NPI

Christina Lopez Martin, BCBA, CCC-SLP, M.S

  • Speech-Language Pathologist
  • Wylie, TX
National Provider Identifier
1255593547
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
102715 Issued in TX
Practice address
940 West FM 544 #1782
Wylie, TX 75098
Phone
(972) 379-8379
NPI assigned
Jun 27, 2008
Last updated
Apr 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3561 OK
Speech-Language Pathologist 235Z00000X 102715 TX Primary
Behavior Analyst 103K00000X 1079 TX
Behavior Analyst 103K00000X 1-09-5783 OK
Behavior Analyst 103K00000X 1-09-5783 TX

Addresses

Primary practice location

940 West FM 544 #1782
Wylie, TX 75098

Mailing address

940 W FM 544 #1782
Wylie, TX 75098-3278
Phone (972) 379-8379

Other practice location 1

6399 Fishtrap Rd
Denton, TX 76208-1607
Phone (940) 663-3006 ext. 2

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1079TXMDBehavioral Analyst
3561OKMDChiropractor
102715TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cmartin Therapy Services PLLC Behavior Analyst CurrentSince Apr 23, 2023 Accepting new patients
Heart of Behavior LLC Behavior Analyst Past Accepting new patients

Locations

940 W FM 544
Unit 1782
Wylie, TX 75098
Phone (972) 379-8379

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1255593547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 W FM 544 #1782",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750983278",
            "telephone_number": "972-379-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 WEST FM 544 #1782",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "75098",
            "telephone_number": "972-379-8379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6399 Fishtrap Rd",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762081607",
            "country_code": "US",
            "telephone_number": "940-663-3006 x2",
            "fax_number": "940-243-8195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CHRISTINA",
        "middle_name": "LOPEZ",
        "credential": "BCBA, CCC-SLP, M.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-27",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "3561",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "102715",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1079",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OK",
            "license": "1-09-5783",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-09-5783",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.

Verify at the official NPI Registry.