Individual provider Active NPI

Brita Martiny-Yssel, PH.D.

  • Psychologist
  • Prescott, AZ
National Provider Identifier
1578809042
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
# 4730 Issued in AZ
Practice address
119 E Goodwin St
Prescott, AZ 86303-3940
Phone
(928) 899-5521
NPI assigned
Jan 2, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY1446 HI
Psychologist 103T00000X PY0681 NV
Psychologist 103T00000X PSY12691 CA
Psychologist 103T00000X # 4730 AZ Primary

Addresses

Primary practice location

119 E Goodwin St
Prescott, AZ 86303-3940

Mailing address

2150 Santa Fe SPGS
Prescott, AZ 86305-6214
Phone (928) 460-5887

Other identifiers 4

IdentifierTypeStateIssuer
PSY12691OtherCAPSYCHOLOGY LICENSE
PY0681OtherNVPSYCHOLOGY LICENSES
PSY1446OtherHIPSYCHOLOGIST LICENSE
4730OtherAZARIZONA PSYCHOLOGY LICENSE

Other names 1

  • Brita Martiny Professional name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161122000769 AZ Practitioner - Clinical Psychologist 0840414355 Practice locations: Prescott, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Prescott, AZ 86305
Phone (928) 899-5521

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
# 4730AZMDPsychologist
PSY12691CAMDPsychologist
PSY1446HIMDPsychologist
PY0681NVMDPsychologist

Interoperability endpoints

  • Direct secure messaging: brita.martinyyssel@hawaiihie.medicity.net

NPI Registry JSON

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1578809042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 SANTA FE SPGS",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863056214",
            "telephone_number": "928-460-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E GOODWIN ST",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863033940",
            "telephone_number": "928-899-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINY-YSSEL",
        "first_name": "BRITA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-02",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY1446",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NV",
            "license": "PY0681",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY12691",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "# 4730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE",
            "identifier": "PSY12691",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSES",
            "identifier": "PY0681",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST LICENSE",
            "identifier": "PSY1446",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA PSYCHOLOGY LICENSE",
            "identifier": "4730",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITA",
            "last_name": "MARTINY",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.