Active NPI
Brita Martiny-Yssel, PH.D.
- Psychologist
- Prescott, AZ
National Provider Identifier
1578809042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- # 4730
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY12691 | Other | CA | PSYCHOLOGY LICENSE |
| PY0681 | Other | NV | PSYCHOLOGY LICENSES |
| PSY1446 | Other | HI | PSYCHOLOGIST LICENSE |
| 4730 | Other | AZ | ARIZONA PSYCHOLOGY LICENSE |
Other names 1
- Brita Martiny
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| # 4730 | AZ | MD | Psychologist |
| PSY12691 | CA | MD | Psychologist |
| PSY1446 | HI | MD | Psychologist |
| PY0681 | NV | MD | Psychologist |
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.