Martin Lemon, PHD, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-004794 Issued in IL

Legal business name

MARTIN LEMON, PHD, P.C.

Practice address

28379 Davis Pkwy
Suite 801
Warrenville, IL 60555-3032

Phone

(630) 393-9800

Fax

(630) 393-0499

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Martin Edward Lemon, PH.D.NPI 1063650141

Title

Owner

Phone

(630) 393-9800

Specialties & licenses 1

Addresses

Other names 1

• Lemon, LiCavoli & Associates, P.C. Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martin Edward Lemon, PH.D.

  • Clinical Psychologist
  • Warrenville, IL
  • NPI 1063650141
  Medicare reassignment Authorized official
• Wiliam Fraser Martin, PSY.D.

  • Clinical Psychologist
  • Lisle, IL
  • NPI 1427274273
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1487779468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28379 DAVIS PKWY",
            "address_2": "SUITE 801",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553032",
            "telephone_number": "630-393-9800",
            "fax_number": "630-393-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28379 DAVIS PKWY",
            "address_2": "SUITE 801",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605553032",
            "telephone_number": "630-393-9800",
            "fax_number": "630-393-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN LEMON, PHD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "LEMON",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-393-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-004794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lemon, LiCavoli & Associates, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Penny S. Manning, LCPC
• Michele L Marano, DN
• Marathon Health, LLC
• Marathon Health, LLC
• Marissa Marcheski, PA-C
• Abigail Maslanka, RD
• Katherine Masterton, APRN, CNP
• Francoise L Mastroianni, MS.,LPC.,CADC.,CEDA.
• Vinita Mathew, M.D.
• Steven E. Mayer, M.D.

• Clinical Psychologist in Warrenville, IL
• Providers in Warrenville, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.