Active NPI
Robert G. Martin, MA
- Psychologist
- Hamlin, WV
National Provider Identifier
1578518254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 366
- Practice address
- 8150 A Court Ave
Hamlin, WV 25523-1434 - Phone
- (304) 824-7776
- Fax
- (304) 824-7776
- NPI assigned
- May 23, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 366 | WV | Primary |
Addresses
Primary practice location
8150 A Court Ave
Hamlin, WV 25523-1434
Mailing address
8150 A Court Ave
Hamlin, WV 25523-1434
Phone (304) 824-7776
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0165418000 | Medicaid | WV |
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 366 | WV | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert G. Martin | Past | Accepting new patients |
Organizations & group practices 1
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": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218758400000",
"number": "1578518254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8150 A COURT AVE",
"city": "HAMLIN",
"state": "WV",
"postal_code": "255231434",
"telephone_number": "304-824-7776",
"fax_number": "304-824-7776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8150 A COURT AVE",
"city": "HAMLIN",
"state": "WV",
"postal_code": "255231434",
"telephone_number": "304-824-7776",
"fax_number": "304-824-7776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "ROBERT",
"middle_name": "G.",
"name_prefix": "Mr.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2008-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WV",
"license": "366",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0165418000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hamlin, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.