Organization Active NPI

Robert G. Martin

Doing business as Martin & Associates

  • Clinical Psychologist
  • Hamlin, WV
National Provider Identifier
1659431377
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
366 Issued in WV
Legal business name
ROBERT G. MARTIN
Doing business as
Martin & Associates
Practice address
8150 A Court Ave.
Hamlin, WV 25523-1434
Phone
(304) 824-7776
Fax
(304) 824-7776
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Authorized official

Name
Mr. Robert G. Martin, M.A.NPI 1578518254
Title
Owner
Phone
(304) 824-7776

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 366 WV Primary

Addresses

Primary practice location

8150 A Court Ave.
Hamlin, WV 25523-1434

Mailing address

8150 A Court Ave.
Hamlin, WV 25523-1434
Phone (304) 824-7776

Other identifiers 2

IdentifierTypeStateIssuer
001720515OtherWVBLUE CROSS BLUE SHIELD
3810002105MedicaidWV

Other names 1

  • Martin & Associates Doing business as

National Provider Directory

National Provider Directory

Locations

8150 Court Ave
#A
Hamlin, WV 25523
Phone (304) 824-7776

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1659431377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8150 A COURT AVE.",
            "city": "HAMLIN",
            "state": "WV",
            "postal_code": "255231434",
            "telephone_number": "304-824-7776",
            "fax_number": "304-824-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8150 A COURT AVE.",
            "city": "HAMLIN",
            "state": "WV",
            "postal_code": "255231434",
            "telephone_number": "304-824-7776",
            "fax_number": "304-824-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT G. MARTIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-824-7776",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001720515",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810002105",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamlin, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.