Active NPI
Luann Martenson, PH.D.
- Clinical Psychologist
- Sierra Madre, CA
National Provider Identifier
1457478232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY12092
- Practice address
- 73 W Sierra Madre Blvd
St. 203
Sierra Madre, CA 91024-2462 - Phone
- (626) 737-0390
- Fax
- (626) 798-8655
- NPI assigned
- Mar 25, 2007
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY12092 | CA | Primary |
Addresses
Primary practice location
73 W Sierra Madre Blvd
St. 203
Sierra Madre, CA 91024-2462
Mailing address
73 W Sierra Madre Blvd
St. 203
Sierra Madre, CA 91024-2462
Phone (626) 737-0390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY12092 | CA | MD | Clinical Psychologist |
| 12092 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457478232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73 W SIERRA MADRE BLVD",
"address_2": "ST. 203",
"city": "SIERRA MADRE",
"state": "CA",
"postal_code": "910242462",
"telephone_number": "626-737-0390",
"fax_number": "626-798-8655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73 W SIERRA MADRE BLVD",
"address_2": "ST. 203",
"city": "SIERRA MADRE",
"state": "CA",
"postal_code": "910242462",
"telephone_number": "626-737-0390",
"fax_number": "626-798-8655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTENSON",
"first_name": "LUANN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY12092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sierra Madre, CA
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.