Individual provider Active NPI

William Martin, M.D.

  • Psychiatry Physician
  • Detroit, MI
National Provider Identifier
1508877317
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
BM2956398 Issued in MI
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100608000191 MI Practitioner - PsychiatryPractitioner - Neurology 9133259807 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Michigan State University College of Human Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Well-Being ServicesGroup PAC ID 9133010176, 11 clinicians

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

OrganizationSpecialtyStatusNew patients
All Well-Being Services Psychiatry CurrentSince Sep 12, 2018 Accepting new patients
William W. Martin, MD PC CurrentSince Feb 1, 2010 Accepting new patients
Adult Well Being Services CurrentSince Sep 12, 2018 Accepting new patients
New Center Community Mental Health Services PastSince Sep 2, 2008 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.

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

Verify at the official NPI Registry.