Active NPI
Martin Alan Lumpkin, PH.D.
- Clinical Psychologist
- Terrell, TX
National Provider Identifier
1508977794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20897
- Practice address
- 102 E Moore Ave
235
Terrell, TX 75160-3204 - Phone
- (972) 563-1831
- NPI assigned
- Aug 31, 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20897 | TX | Primary |
Addresses
Primary practice location
102 E Moore Ave
235
Terrell, TX 75160-3204
Mailing address
401 Pacific Ave
Terrell, TX 75160-2055
Phone (972) 563-1831
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P000H74R6 | Medicaid | TX | |
| 00H74R | Other | TX | BLUE CROSS |
| 92850403 | Other | TX | UNITED BEHAVIORAL HEALTH |
| U08150125 | Other | TX | CIGNA |
| 4485497 | Other | TX | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110829000091 | TX | Practitioner - Clinical Psychologist | 7315117496 | Practice locations: Terrell, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508977794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 PACIFIC AVE",
"city": "TERRELL",
"state": "TX",
"postal_code": "751602055",
"telephone_number": "972-563-1831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 E MOORE AVE",
"address_2": "235",
"city": "TERRELL",
"state": "TX",
"postal_code": "751603204",
"telephone_number": "972-563-1831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUMPKIN",
"first_name": "MARTIN",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "20897",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "P000H74R6",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "00H74R",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "92850403",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "U08150125",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4485497",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Terrell, TX
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.