Active NPI
Ana Lydia Martinez, PSY.D.
- Clinical Psychologist
- Fort Lauderdale, FL
National Provider Identifier
1386728657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY5519
- Practice address
- 3301 College Avenue - Maltz BLDG
Nsu - Psychology Services Center
Fort Lauderdale, FL 33314 - Phone
- (954) 262-5831
- Fax
- (954) 262-3855
- NPI assigned
- Oct 24, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY5519 | FL | Primary |
Addresses
Primary practice location
3301 College Avenue - Maltz BLDG
Nsu - Psychology Services Center
Fort Lauderdale, FL 33314
Mailing address
6850 Landings Dr Apt 202
Lauderhill, FL 33319-5076
Phone (954) 731-9465
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 |
|---|---|---|---|
| PSY5519 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386728657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6850 LANDINGS DR APT 202",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333195076",
"telephone_number": "954-731-9465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 COLLEGE AVENUE - MALTZ BLDG",
"address_2": "NSU - PSYCHOLOGY SERVICES CENTER",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33314",
"telephone_number": "954-262-5831",
"fax_number": "954-262-3855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "ANA",
"middle_name": "LYDIA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PSY5519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.