Active NPI
Martha Louise Gilmore, PHD
- Group Psychotherapy Psychologist
- Davis, CA
National Provider Identifier
1679684575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Group Psychotherapy Psychologist
- License
- PSY10451
- Practice address
- 1621 Oak Ave
Ste B
Davis, CA 95616-1000 - Phone
- (530) 757-6861
- Fax
- (530) 753-0636
- NPI assigned
- Aug 31, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY10451 | CA | |
| Psychologist | 103T00000X | PSY10451 | CA | |
| Group Psychotherapy Psychologist | 103TP2701X | PSY10451 | CA | Primary |
Addresses
Primary practice location
1621 Oak Ave
Ste B
Davis, CA 95616-1000
Mailing address
1621 Oak Ave
Ste B
Davis, CA 95616-1000
Phone (530) 757-6861
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10451 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| PSY10451 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacramento Center for Psychotherapy | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- Davis, CA
- NPI 1043554371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1679684575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1621 OAK AVE",
"address_2": "STE B",
"city": "DAVIS",
"state": "CA",
"postal_code": "956161000",
"telephone_number": "530-757-6861",
"fax_number": "530-753-0636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1621 OAK AVE",
"address_2": "STE B",
"city": "DAVIS",
"state": "CA",
"postal_code": "956161000",
"telephone_number": "530-757-6861",
"fax_number": "530-753-0636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILMORE",
"first_name": "MARTHA",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY10451",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY10451",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "CA",
"license": "PSY10451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.