Individual provider Active NPI

Martin H Newman, MD

  • Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1538201777
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
36546 Issued in AZ
Practice address
16620 N 40TH St Ste E-1
Phoenix, AZ 85032-3348
Phone
(602) 464-9576
Fax
(602) 626-8901
NPI assigned
Feb 13, 2007
Last updated
Sep 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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 36546 AZ Primary

Addresses

Primary practice location

16620 N 40TH St Ste E-1
Phoenix, AZ 85032-3348

Mailing address

16430 N Scottsdale Rd Ste 210
Scottsdale, AZ 85254-1581
Phone (602) 464-9576

Other practice location 1

18555 N 79th Ave Ste D107
Glendale, AZ 85308-6040
Phone (623) 777-3477

Other practice location 2

2450 E Guadalupe Rd Ste 103
Gilbert, AZ 85234-5116
Phone (480) 907-6818

Other identifiers 1

IdentifierTypeStateIssuer
194253MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20070404000376 AZ Practitioner - Psychiatry 4789788597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36546AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Behavioral Medicine, PLC Psychiatry CurrentSince May 15, 2010 Accepting new patients
University Physicians Healthcare Psychiatry Past Accepting new patients

Locations

13460 N 67th Ave
Glendale, AZ 85304
Phone (623) 334-5387

6015 W Peoria Ave
Glendale, AZ 85302
Phone (480) 345-5420

13216 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (602) 327-9569

2525 W Beryl Ave
Phoenix, AZ 85021
Phone (602) 424-7967

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1538201777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16430 N SCOTTSDALE RD STE 210",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541581",
            "telephone_number": "602-464-9576",
            "fax_number": "602-626-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16620 N 40TH ST STE E-1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323348",
            "telephone_number": "602-464-9576",
            "fax_number": "602-626-8901"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18555 N 79th Ave Ste D107",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853086040",
            "country_code": "US",
            "telephone_number": "623-777-3477",
            "fax_number": "623-777-3478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2450 E Guadalupe Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852345116",
            "country_code": "US",
            "telephone_number": "480-907-6818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "MARTIN",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "36546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194253",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.