Matthew Martinich, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY.0004951 Issued in CO

Practice address

5825 Delmonico Dr Ste 105
Colorado Springs, CO 80919-2242

Phone

(719) 339-9537

NPI assigned

Jun 10, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Clinical Psychologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Martinich Enterprises, LLCGroup PAC ID 9830590397, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: matthew.martinich.1@21787.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Martinich Enterprises, LLC

  • Clinical Psychologist
  • Colorado Springs, CO
  • NPI 1114488624
  Medicare reassignment Care Compare group NPD Authorized official
• Practice 32 LLC

  • Dental Hygienist
  • Colorado Springs, CO
  • NPI 1881396794
  NPD (past)

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1619326451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 DELMONICO DR STE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192243",
            "telephone_number": "719-339-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 DELMONICO DR STE 105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192242",
            "telephone_number": "719-339-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINICH",
        "first_name": "MATTHEW",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-10",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0004951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Martinez, NP
• Viviana M Martinez
• William Martinez, PHARMD
• Summer Grace Marting, DPT
• Martinich Enterprises, LLC
• Brianna Martino
• Stephanie Martins, DDS
• Wesley John Martins, MS CCC-SLP
• Malisha Lynn Martukovich, AU.D.
• Aimee Joanne Martz Dick, MA, LPC

• Clinical Psychologist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.

Verify at the official NPI Registry.