Active NPI
Lawrence Mather Martin, MD
- Psychiatry Physician
- Scottsdale, AZ
National Provider Identifier
1366430498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 18040
- Practice address
- 4300 N Miller Rd
Suite 218
Scottsdale, AZ 85251-3619 - Phone
- (480) 699-3860
- Fax
- (480) 699-3971
- NPI assigned
- Oct 12, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 18040 | AZ | Primary |
Addresses
Primary practice location
4300 N Miller Rd
Suite 218
Scottsdale, AZ 85251-3619
Mailing address
4300 N Miller Rd
Suite 218
Scottsdale, AZ 85251-3619
Phone (480) 699-3860
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0736820 | Other | AZ | BCBS |
| 86080015085259A115 | Other | AZ | TRICARE - FOR MAYO CLINIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Sep 16, 2016 through Sep 16, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18040 | AZ | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deibler Psychiatric, PLLC | Psychiatry | Past | Accepting new patients |
| Eugene R. Almer MD PC | Psychiatry | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Scottsdale, AZ
- NPI 1043397078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194307200000",
"number": "1366430498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 N MILLER RD",
"address_2": "SUITE 218",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852513619",
"telephone_number": "480-699-3860",
"fax_number": "480-699-3971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 N MILLER RD",
"address_2": "SUITE 218",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852513619",
"telephone_number": "480-699-3860",
"fax_number": "480-699-3971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "LAWRENCE",
"middle_name": "MATHER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-12",
"last_updated": "2007-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "AZ",
"license": "18040",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0736820",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE - FOR MAYO CLINIC",
"identifier": "86080015085259A115",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.