Organization Active NPI

Gustavo Martinez

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • El Paso, TX
National Provider Identifier
1336392968
Registry record updated Jul 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GUSTAVO MARTINEZ
Doing business as
Interventions International
Practice address
814 Myrtle Ave
El Paso, TX 79901-1512
Phone
(915) 241-7272
Fax
(877) 587-9452
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2009

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

Authorized official

Name
Gustavo R Martinez, LCSWNPI 1154397651
Title
Owner
Phone
(915) 241-7272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

814 Myrtle Ave
El Paso, TX 79901-1512

Mailing address

814 Myrtle Ave
El Paso, TX 79901-1512
Phone (915) 241-7272

Other identifiers 1

IdentifierTypeStateIssuer
0056RYOtherTXBCBS

Other names 1

  • Interventions International Doing business as

National Provider Directory

National Provider Directory

Locations

814 Myrtle Ave
El Paso, TX 79901
Phone (915) 241-7272

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1336392968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 MYRTLE AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799011512",
            "telephone_number": "915-241-7272",
            "fax_number": "877-587-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 MYRTLE AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799011512",
            "telephone_number": "915-241-7272",
            "fax_number": "877-587-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUSTAVO MARTINEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-241-7272",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0056RY",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interventions International",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; 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.