Individual provider Active NPI

Martin Barry Meyer, PH.D.

  • Psychologist
  • Butler, PA
National Provider Identifier
1447309133
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS006079L Issued in PA
Practice address
220 S Main St
Suite 304
Butler, PA 16001-5987
Phone
(724) 287-5604
Fax
(724) 287-3779
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS006079L PA Primary

Addresses

Primary practice location

220 S Main St
Suite 304
Butler, PA 16001-5987

Mailing address

185 Forrester Rd
Slippery Rock, PA 16057-2515
Phone (724) 794-1954

Other identifiers 2

IdentifierTypeStateIssuer
156500OtherPAVALUE OPTIONS PROVDER #
702165OtherPAHIGHMARK PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151203001640 PA Practitioner - Clinical Psychologist 7618277260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vocational ServicesGroup PAC ID 6406156041, 2 clinicians

Practice addresses (Care Compare)

350 N Main St
Butler, PA 16001-4921
Phone (724) 287-5604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Vocational Services Psychologist CurrentSince Nov 2, 2015 Accepting new patients
Psych-Med Associates Inc Past Accepting new patients

Locations

350 N Main St
#1
Butler, PA 16001

350 N Main St
Butler, PA 16001
Phone (724) 287-5604

115 E North St
New Castle, PA 16101
Phone (323) 384-6860

76 Jefferson Ave
Sharon, PA 16146
Phone (724) 982-4790

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/vpsdocs/r4/

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447309133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 FORRESTER RD",
            "city": "SLIPPERY ROCK",
            "state": "PA",
            "postal_code": "160572515",
            "telephone_number": "724-794-1954",
            "fax_number": "724-794-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S MAIN ST",
            "address_2": "SUITE 304",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160015987",
            "telephone_number": "724-287-5604",
            "fax_number": "724-287-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "MARTIN",
        "middle_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS006079L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PROVDER #",
            "identifier": "156500",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PROVIDER ID",
            "identifier": "702165",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.