Organization Active NPI

Roger Martig PHD., LLC

  • Clinical Psychologist
  • Phoenix, AZ
National Provider Identifier
1679618797
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0796 Issued in AZ
Legal business name
ROGER MARTIG PHD., LLC
Practice address
7217 N 23Rd St
Phoenix, AZ 85020-5613
Phone
(602) 867-2699
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Dr. Roger Milo Martig, PHD
Title
President
Phone
(602) 867-2699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 0796 AZ Primary

Addresses

Primary practice location

7217 N 23Rd St
Phoenix, AZ 85020-5613

Mailing address

7217 N 23Rd St
Phoenix, AZ 85020-5613
Phone (602) 867-2699

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1679618797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7217 N 23RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205613",
            "telephone_number": "602-867-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7217 N 23RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205613",
            "telephone_number": "602-867-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER MARTIG PHD., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "MARTIG",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "MILO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-867-2699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "0796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.