Martin Vincent Ross, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY8593 Issued in CA

Practice address

3807 Wilshire Blvd
Suite 200
Los Angeles, CA 90010-3101

Phone

(213) 427-3200

NPI assigned

Jan 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477610491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 AUCKLAND AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916012910",
            "telephone_number": "818-766-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3807 WILSHIRE BLVD",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103101",
            "telephone_number": "213-427-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "MARTIN",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY8593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY085931",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lea Yvonne Ross
• Leslie Anne Ross, PSY.D.
• Levi Nathan Ross Sr., CW
• Lily Ross
• Lindsey Ross
• Michele Ross, LCSW
• Mindy K Ross, M.D.
• Nicole Ross, M.D.
• Patrick Allen Ross, MD
• Racquel Simone Ross

• Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychologist in California

• 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.

Verify at the official NPI Registry.