Active NPI
Holly Patricia Martin, PH.D.
- Psychologist
- Durham, NC
National Provider Identifier
1326243783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3020
- Practice address
- 2515 NC Hwy 55
Suite a
Durham, NC 27713-1374 - Phone
- (919) 957-7357
- NPI assigned
- Jun 17, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3020 | NC | Primary |
Addresses
Primary practice location
2515 NC Hwy 55
Suite a
Durham, NC 27713-1374
Mailing address
90 Leghorn Dr
Zebulon, NC 27597-5311
Phone (919) 404-1552
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3020 | NC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326243783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 LEGHORN DR",
"city": "ZEBULON",
"state": "NC",
"postal_code": "275975311",
"telephone_number": "919-404-1552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2515 NC HWY 55",
"address_2": "SUITE A",
"city": "DURHAM",
"state": "NC",
"postal_code": "277131374",
"telephone_number": "919-957-7357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "HOLLY",
"middle_name": "PATRICIA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "3020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.