Carianne Martinez, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

4000 Shipyard Blvd Ste 100
Wilmington, NC 28403-6194

Phone

(910) 792-5570

NPI assigned

Aug 5, 2021

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

Practice roles

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.

• Center for Pediatric Behavioral Health

  • Clinical Child & Adolescent Psychologist
  • Wilmington, NC
  • NPI 1871962415
  NPD (past)
• Children's Center

  • Mental Health Counselor
  • Salt Lake City, UT
  • NPI 1275566069
  NPD (past)

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1528732278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404 IBIS CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284092630",
            "telephone_number": "919-412-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 SHIPYARD BLVD STE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036194",
            "telephone_number": "910-792-5570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 S 400 E",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841112905",
            "country_code": "US",
            "telephone_number": "801-582-5534",
            "fax_number": "801-582-5540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "CARIANNE",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Elise Martindale
• Jordan Rackley Martine, PT, DPT
• Mariah Lynn Martineau Lopez, LCAS, LCSWA
• Amarilia Martinez-Cordova, LCSWA, LCASA
• Bryan Lee Martinez
• Cindy Marie Martinez, MSW, LCSW
• Kristyn Brie Martinez, LCMHC
• Cynthia Jeannette Martins, NP
• Christine Martucci, OT
• Samuel Austin Maruniak, DO

• Psychologist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.