Active NPI
Yamileth Martinez-Lewis
- Marriage & Family Therapist
- Glendale, AZ
National Provider Identifier
1386233443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 6660T
- Practice address
- 17250 N 43Rd Ave Ste 4
Glendale, AZ 85308-4032 - Phone
- (623) 695-8733
- NPI assigned
- Jan 13, 2021
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 6660T | AZ | Primary |
Addresses
Primary practice location
17250 N 43Rd Ave Ste 4
Glendale, AZ 85308-4032
Mailing address
17250 N 43Rd Ave Ste 4
Glendale, AZ 85308-4032
Phone (623) 695-8733
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6660T | AZ | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610496000000",
"number": "1386233443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17250 N 43RD AVE STE 4",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853084032",
"telephone_number": "623-695-8733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17250 N 43RD AVE STE 4",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853084032",
"telephone_number": "623-695-8733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ-LEWIS",
"first_name": "YAMILETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-13",
"last_updated": "2021-01-13",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AZ",
"license": "6660T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.