Active NPI
Melissa Martin, MS
- Counseling Psychologist
- Mayaguez, PR
National Provider Identifier
1336600907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6232
- Practice address
- 60 Calle Meditacion
Mayaguez, PR 00680-4819 - Phone
- (787) 832-7134
- NPI assigned
- Mar 27, 2019
- Last updated
- Mar 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6232 | PR | Primary |
Addresses
Primary practice location
60 Calle Meditacion
Mayaguez, PR 00680-4819
Mailing address
HC 2 Box 6945
Hormigueros, PR 00660
Phone (787) 640-9445
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6232 | PR | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Center Red, LLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
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": "1553644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553644800000",
"number": "1336600907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 2 BOX 6945",
"city": "HORMIGUEROS",
"state": "PR",
"postal_code": "00660",
"telephone_number": "787-640-9445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 CALLE MEDITACION",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006804819",
"telephone_number": "787-832-7134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "MELISSA",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-27",
"last_updated": "2019-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "6232",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.