Individual provider Active NPI

Martha Allison Kemp, PH D

  • Psychologist
  • Gainesville, FL
National Provider Identifier
1336159326
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY6664 Issued in FL
Practice address
225 SW 7TH Terrace
Gainesville, FL 32601
Phone
(352) 379-2829
Fax
(352) 379-2843
NPI assigned
Aug 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY6664 FL Primary

Addresses

Primary practice location

225 SW 7TH Terrace
Gainesville, FL 32601

Mailing address

18528 NW 23Rd PL
Newberry, FL 32669-2152
Phone (352) 472-2974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • 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
I20131028001810 FL Practitioner - Clinical Psychologist 0547235178 Practice locations: Gainesville, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
John P McDonough III Psychologist PastSince Oct 1, 2004 Accepting new patients
Beth Shubert, PA Past Accepting new patients
The Itm Group Past Accepting new patients
GPS II Past Accepting new patients
Eric Diamond PHD PA PastSince Jan 1, 2004 Accepting new patients

Organizations & group practices 5

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336159326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18528 NW 23RD PL",
            "city": "NEWBERRY",
            "state": "FL",
            "postal_code": "326692152",
            "telephone_number": "352-472-2974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 SW 7TH TERRACE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32601",
            "telephone_number": "352-379-2829",
            "fax_number": "352-379-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMP",
        "first_name": "MARTHA",
        "middle_name": "ALLISON",
        "name_prefix": "Dr.",
        "credential": "PH D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.