Active NPI
Marc A. Martinez, PHD, ABPP
- Clinical Psychologist
- Rochester, NY
National Provider Identifier
1568085256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 018798-1
- Practice address
- 510 Clinton SQ
Rochester, NY 14604-1700 - Phone
- (585) 232-1288
- NPI assigned
- May 28, 2020
- 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 | 018798-1 | NY | Primary |
Addresses
Primary practice location
510 Clinton SQ
Rochester, NY 14604-1700
Mailing address
PO Box 1018
Penfield, NY 14526-5018
Phone (585) 232-1288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018798-1 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1568085256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1018",
"city": "PENFIELD",
"state": "NY",
"postal_code": "145265018",
"telephone_number": "585-232-1288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 CLINTON SQ",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146041700",
"telephone_number": "585-232-1288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "MARC",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "PHD, ABPP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-28",
"last_updated": "2025-09-11",
"certification_date": "2020-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "018798-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.