Active NPI
Marti Beth Kranzberg, PH.D
- Clinical Psychologist
- Dallas, TX
National Provider Identifier
1487683116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 23854
- Practice address
- 5217 McKinney Ave
#102
Dallas, TX 75205-3336 - Phone
- (214) 528-1815
- Fax
- (214) 528-1686
- NPI assigned
- Jul 3, 2006
- 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 | 23854 | TX | Primary |
Addresses
Primary practice location
5217 McKinney Ave
#102
Dallas, TX 75205-3336
Mailing address
5217 McKinney Ave
#102
Dallas, TX 75205-3342
Phone (214) 528-1815
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235780-03 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23854 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215993600000",
"number": "1487683116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5217 MCKINNEY AVE",
"address_2": "#102",
"city": "DALLAS",
"state": "TX",
"postal_code": "752053342",
"telephone_number": "214-528-1815",
"fax_number": "214-528-1686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5217 MCKINNEY AVE",
"address_2": "#102",
"city": "DALLAS",
"state": "TX",
"postal_code": "752053336",
"telephone_number": "214-528-1815",
"fax_number": "214-528-1686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRANZBERG",
"first_name": "MARTI",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2008-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "23854",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235780-03",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.