Individual provider Active NPI

Martina Soltes, PSYD

  • Clinical Psychologist
  • Scottsdale, AZ
National Provider Identifier
1689829921
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1036 Issued in HI
Practice address
8160 E Butherus Dr Ste 5
Scottsdale, AZ 85260
Phone
(480) 588-3560
NPI assigned
Dec 1, 2008
Last updated
Oct 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 004836 AZ
Clinical Psychologist 103TC0700X 1036 HI Primary

Addresses

Primary practice location

8160 E Butherus Dr Ste 5
Scottsdale, AZ 85260

Mailing address

2014 N 80TH PL
Scottsdale, AZ 85257-2802
Phone (480) 588-3560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230728002739 AZ Practitioner - Clinical Psychologist 5890156483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healing Wounds LLCGroup PAC ID 1254623432, 3 clinicians

Practice addresses (Care Compare)

8160 E Butherus Dr
Suite 5
Scottsdale, AZ 85260-2523
Phone (210) 355-6207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004836AZMDClinical Psychologist
1036HIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Wounds LLC CurrentSince Jul 12, 2023 Accepting new patients

Locations

8160 E Butherus Dr
Ste 5
Scottsdale, AZ 85260
Phone (210) 355-6207

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1689829921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 N 80TH PL",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852572802",
            "telephone_number": "480-588-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8160 E BUTHERUS DR STE 5",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85260",
            "telephone_number": "480-588-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLTES",
        "first_name": "MARTINA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2023-10-26",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "004836",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "HI",
            "license": "1036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.