Individual provider Active NPI

Martha Anne Perry, PHD

  • Clinical Psychologist
  • Asheville, NC
National Provider Identifier
1588687339
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2295 Issued in NC
Practice address
303 Stone Ridge Blvd
Asheville, NC 28804-8313
Phone
(828) 645-9305
Fax
(828) 645-1038
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2295 NC Primary

Addresses

Primary practice location

303 Stone Ridge Blvd
Asheville, NC 28804-8313

Mailing address

464 Beaverdam Rd
Asheville, NC 28804-1836

Other identifiers 2

IdentifierTypeStateIssuer
6000528MedicaidNC
4562OtherNCNVML BCBSNC GRP 015HF

Other names 1

  • Martha Anne Vinette Former name

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2295NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Vistas-Mountain Laurel, Inc. Clinical Past Accepting new patients
Hospice & Palliative Care of the Blue Ridge Inc PastSince Jul 31, 2017 Accepting new patients

Organizations & group practices 2

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308700800000",
    "number": "1588687339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 BEAVERDAM RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288041836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 STONE RIDGE BLVD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288048313",
            "telephone_number": "828-645-9305",
            "fax_number": "828-645-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "MARTHA",
        "middle_name": "ANNE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2011-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000528",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NVML BCBSNC GRP 015HF",
            "identifier": "4562",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "VINETTE",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.