Active NPI
William Martin, M.D.
- Psychiatry Physician
- Detroit, MI
National Provider Identifier
1508877317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- BM2956398
- Practice address
- 2051 W Grand Blvd
Detroit, MI 48208-1105 - Phone
- (313) 961-3200
- Fax
- (313) 961-3769
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | BM2956398 | MI | Primary |
Addresses
Primary practice location
2051 W Grand Blvd
Detroit, MI 48208-1105
Mailing address
2051 W Grand Blvd
Detroit, MI 48208-1105
Phone (313) 961-3200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Michigan State University College of Human Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1413 Field St
Detroit, MI 48214-2321
Phone (313) 347-2070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Well-Being Services | Psychiatry | Current | Accepting new patients |
| William W. Martin, MD PC | Current | Accepting new patients | |
| Adult Well Being Services | Current | Accepting new patients | |
| New Center Community Mental Health Services | Past | Accepting new patients | |
| New Center Community Mental Health Services | Past | Accepting new patients |
Locations
1413 Field St
Detroit, MI 48214
Phone (313) 347-2070
5575 Conner St
Ste 208
Detroit, MI 48213
Phone (313) 646-1350
1423 Field St
Detroit, MI 48214
Phone (313) 347-2070
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Detroit, MI
- NPI 1679663546
-
- Adult Mental Health Clinic/Center
- Detroit, MI
- NPI 1225368301
-
- Case Management Agency
- Detroit, MI
- NPI 1023353984
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Detroit, MI
- NPI 1306864129
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Detroit, MI
- NPI 1588672091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508877317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2051 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482081105",
"telephone_number": "313-961-3200",
"fax_number": "313-961-3769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2051 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482081105",
"telephone_number": "313-961-3200",
"fax_number": "313-961-3769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "BM2956398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.