Michael L Martin PH D PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

764 Issued in OK

Legal business name

MICHAEL L MARTIN PH D PLLC

Practice address

5555 E 71St St
Tulsa, OK 74136-6542

Phone

(918) 895-6294

Fax

(918) 895-6295

NPI assigned

Feb 18, 2017

Organization subpart

No

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

Authorized official

Name

Michael L Martin, PH.D.

Title

Owner

Phone

(918) 619-7337

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dennis A. Rawlings, PHD

  • Psychologist
  • Tulsa, OK
  • NPI 1376760504
  NPD (past)

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

{
    "created_epoch": "1487376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487376000000",
    "number": "1538608906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 E 71ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366542",
            "telephone_number": "918-895-6294",
            "fax_number": "918-895-6295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 E 71ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741366542",
            "telephone_number": "918-895-6294",
            "fax_number": "918-895-6295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L MARTIN PH D PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-18",
        "last_updated": "2017-02-18",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-619-7337",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OK",
            "license": "764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100840240A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott William Meyers, M.D.
• Mi-Win, Inc. (dba Justin's Lighthouse Recovery Services)
• Ibraheem T Mian
• Michael J. Fox, DDS, PLLC
• Michael J. Hosier, DDS, Ms, PC
• Michael L. Engelbrecht, PC
• Michael L.Hubner, M.D., P.C.
• Michael P. Keenan, D.D.S.
• Michael S Lowe MD PC
• Michael S. Howl D.D.S.,P.C.

• Clinical Psychologist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Clinical Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2017; 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.