Active NPI
Mandi Martinez-Dick, PHD
- School Psychologist
- Arlington Heights, IL
National Provider Identifier
1578080503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 1909471
- Practice address
- 2330 N Verde Dr
Arlington Heights, IL 60004-2867 - Phone
- (847) 506-5506
- NPI assigned
- Aug 30, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1909471 | IL | Primary |
Addresses
Primary practice location
2330 N Verde Dr
Arlington Heights, IL 60004-2867
Mailing address
2330 N Verde Dr
Arlington Heights, IL 60004-2867
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 |
|---|---|---|---|
| 1909471 | IL | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1504051200000",
"number": "1578080503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2330 N VERDE DR",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600042867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2330 N VERDE DR",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600042867",
"telephone_number": "847-506-5506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ-DICK",
"first_name": "MANDI",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-30",
"last_updated": "2017-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "IL",
"license": "1909471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.