NPIMap

Organization Active NPI

Neil P Martin LLC

  • Psychologist
  • Atlanta, GA
National Provider Identifier
1487172300
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY004040 Issued in GA
Legal business name
NEIL P MARTIN LLC
Practice address
67 Peachtree Park Dr NE Ste 102
Atlanta, GA 30309-1318
Phone
(404) 410-2448
Fax
(404) 581-5375
NPI assigned
Aug 30, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Neil Martin, PSYDNPI 1316484223
Title
Clinical Psychologist
Phone
(404) 410-2448

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X PSY004040 GA Primary

Addresses

Primary practice location

67 Peachtree Park Dr NE Ste 102
Atlanta, GA 30309-1318

Mailing address

67 Peachtree Park Dr NE Ste 102
Atlanta, GA 30309-1318
Phone (404) 410-2448

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1487172300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 PEACHTREE PARK DR NE STE 102",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091318",
            "telephone_number": "404-410-2448",
            "fax_number": "404-581-5375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 PEACHTREE PARK DR NE STE 102",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091318",
            "telephone_number": "404-410-2448",
            "fax_number": "404-581-5375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL P MARTIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "404-410-2448",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY004040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.