Active NPI
Benita Martinez
- Addiction (Substance Use Disorder) Psychologist
- Santa Fe, NM
National Provider Identifier
1407271745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Psychologist
- License
- CSA0203021
- Practice address
- S 312 Jaguar Drive
Santa Fe, NM 87507 - Phone
- (505) 310-4746
- NPI assigned
- Feb 24, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | CSA0203021 | NM | Primary |
Addresses
Primary practice location
S 312 Jaguar Drive
Santa Fe, NM 87507
Mailing address
S 312 Jaguar Drive
Santa Fe, NM 87507
Phone (505) 310-4746
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 |
|---|---|---|---|
| CSA0203021 | NM | MD | Addiction (Substance Use Disorder) Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556582400000",
"number": "1407271745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "S 312 JAGUAR DRIVE",
"city": "SANTA FE",
"state": "NM",
"postal_code": "87507",
"telephone_number": "505-310-4746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "S 312 JAGUAR DRIVE",
"city": "SANTA FE",
"state": "NM",
"postal_code": "87507",
"telephone_number": "505-310-4746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "BENITA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-24",
"last_updated": "2019-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "NM",
"license": "CSA0203021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.