Individual provider Active NPI

Yamileth Martinez-Lewis

  • Marriage & Family Therapist
  • Glendale, AZ
National Provider Identifier
1386233443
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
6660T Issued in AZ
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

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
6660TAZMDMarriage & 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.

Verify at the official NPI Registry.