Organization Active NPI

Marti Mental Health Services Inc.

  • Clinical Psychologist
  • Lincoln, NE
National Provider Identifier
1649640467
Registry record updated Oct 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
766 Issued in NE
Legal business name
MARTI MENTAL HEALTH SERVICES INC.
Doing business as
Diane C. Marti, Ph.D.
Practice address
3801 Union Dr
Suite 206
Lincoln, NE 68516-6652
Phone
(402) 489-2218
Fax
(402) 489-3666
NPI assigned
Oct 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2015

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

Authorized official

Name
Dr. Diane Marti, PH.D.NPI 1912921560
Title
Owner
Phone
(402) 489-2218

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 766 NE Primary

Addresses

Primary practice location

3801 Union Dr
Suite 206
Lincoln, NE 68516-6652

Mailing address

3801 Union Dr
Suite 206
Lincoln, NE 68516-6652
Phone (402) 489-2218

Other identifiers 1

IdentifierTypeStateIssuer
NA1799OtherNEPTAN

Other names 1

  • Diane C. Marti, Ph.D. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160314001587 NE Part B Supplier - Clinic/Group Practice 0345546578 Receives reassigned benefits from 2 practitioners
Practice locations: Lincoln, NE

National Provider Directory

National Provider Directory

Locations

4701 Champlain Dr
Ste 500
Lincoln, NE 68521
Phone (402) 413-2127

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1649640467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 UNION DR",
            "address_2": "SUITE 206",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166652",
            "telephone_number": "402-489-2218",
            "fax_number": "402-489-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 UNION DR",
            "address_2": "SUITE 206",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166652",
            "telephone_number": "402-489-2218",
            "fax_number": "402-489-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTI MENTAL HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-06",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "MARTI",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-489-2218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "NA1799",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diane C. Marti, Ph.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.