Organization Active NPI

Martine Luntz

  • Clinical Psychologist
  • Durham, NC
National Provider Identifier
1336505783
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
048.0098908 Issued in VT
Legal business name
MARTINE LUNTZ
Practice address
3622 Lyckan Pkwy
Suite 3002
Durham, NC 27707-2564
Phone
(919) 602-6766
NPI assigned
Jan 14, 2016
Organization subpart
Yes
Parent organization
CLARE A. STADLEN, LCSW, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Authorized official

Name
Clare Andrea Stadlen, LCSW, CEDS
Title
Licensed Psychotherapist
Phone
(919) 602-6766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 048.0098908 VT Primary

Addresses

Primary practice location

3622 Lyckan Pkwy
Suite 3002
Durham, NC 27707-2564

Mailing address

3622 Lyckan Pkwy
Suite 3002
Durham, NC 27707-2564
Phone (919) 602-6766

National Provider Directory

National Provider Directory
Tax ID family
Martine Luntz2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1336505783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3622 LYCKAN PKWY",
            "address_2": "SUITE 3002",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072564",
            "telephone_number": "919-602-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 LYCKAN PKWY",
            "address_2": "SUITE 3002",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072564",
            "telephone_number": "919-602-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINE LUNTZ",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLARE A. STADLEN, LCSW, PLLC",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "STADLEN",
        "authorized_official_first_name": "CLARE",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "LICENSED PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "919-602-6766",
        "authorized_official_credential": "LCSW, CEDS"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "048.0098908",
            "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 Jan 14, 2016; 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.