Active NPI
Martha Alane Ingham, PHD, PSYCHOLOGIST
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1659536084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 15164
- Practice address
- 3131 Camino del Rio N
Suite 370
San Diego, CA 92108-5701 - Phone
- (858) 705-3169
- NPI assigned
- Jul 24, 2008
- Last updated
- Jan 3, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 15164 | CA | Primary |
| School Psychologist | 103TS0200X | PPS-SCHOOL PSYCH | CA |
Addresses
Primary practice location
3131 Camino del Rio N
Suite 370
San Diego, CA 92108-5701
Mailing address
3131 Camino del Rio N
Suite 370
San Diego, CA 92108-5701
Phone (858) 705-3169
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 15164 | CA | MD | Clinical Psychologist |
| PPS-SCHOOL PSYCH | CA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357171200000",
"number": "1659536084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 CAMINO DEL RIO N",
"address_2": "SUITE 370",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921085701",
"telephone_number": "858-705-3169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3131 CAMINO DEL RIO N",
"address_2": "SUITE 370",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921085701",
"telephone_number": "858-705-3169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGHAM",
"first_name": "MARTHA",
"middle_name": "ALANE",
"name_prefix": "Dr.",
"credential": "PHD, PSYCHOLOGIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-24",
"last_updated": "2013-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 15164",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "PPS-SCHOOL PSYCH",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.