NPIMap

Organization Active NPI

Mary M. Martineau

  • Primary Care Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1467830919
Registry record updated May 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
8394257-3501 Issued in UT
Legal business name
MARY M. MARTINEAU
Practice address
335 E 2ND Ave Apt a
Salt Lake City, UT 84103-2626
Phone
(801) 425-4187
NPI assigned
May 15, 2015
Last updated
May 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2015

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

Authorized official

Name
Mary M Martineau, LCSW
Title
Social Worker
Phone
(801) 425-4187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 8394257-3501 UT Primary

Addresses

Primary practice location

335 E 2ND Ave Apt a
Salt Lake City, UT 84103-2626

Mailing address

335 E 2ND Ave Apt a
Salt Lake City, UT 84103-2626
Phone (801) 425-4187

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431648000000",
    "number": "1467830919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 E 2ND AVE APT A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841032626",
            "telephone_number": "801-425-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 E 2ND AVE APT A",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841032626",
            "telephone_number": "801-425-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY M. MARTINEAU",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2015-05-15",
        "status": "A",
        "authorized_official_last_name": "MARTINEAU",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "801-425-4187",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "UT",
            "license": "8394257-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2015; 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.