Glenn Ann Martin, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

P 1921 Issued in TN

Practice address

5583 Murray Rd
Suite 210
Memphis, TN 38119-3841

Phone

(901) 682-7388

Fax

(901) 682-7016

NPI assigned

Mar 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518085869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4416 MINDEN RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381172420",
            "telephone_number": "901-761-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5583 MURRAY RD",
            "address_2": "SUITE 210",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193841",
            "telephone_number": "901-682-7388",
            "fax_number": "901-682-7016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "GLENN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "P 1921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Campbell L Martin
• Cole Austin Martin, MD, MPH
• Daniel Clyde Martin, MD
• Darnesha Martin
• Elise Martin, OT
• Hannah Lane Martin, OTD, OTR/L
• Helen Shonth Martin
• Henry Frank Martin, MD
• Ira James Martin III
• Joppa Martin, MA, EMT

• Psychologist in Memphis, TN
• Providers in Memphis, TN by specialty
• Psychologist in Tennessee

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.