Kimberly M Martin, Psy.D. LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

20042486A Issued in IN

Legal business name

KIMBERLY M MARTIN, PSY.D. LLC

Practice address

3650 E 46TH St
Indianapolis, IN 46205-1610

Phone

(317) 721-9067

NPI assigned

Mar 16, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly Marie Martin, PSY.D.

Title

Owner/Psychologist

Phone

(317) 721-9067

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Lee Sutton, L.C.S.W.

  • Clinical Social Worker
  • Indianapolis, IN
  • NPI 1891910634
  NPD

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1699136788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 E 46TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462051610",
            "telephone_number": "317-721-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 E 46TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462051610",
            "telephone_number": "317-721-9067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY M MARTIN, PSY.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "317-721-9067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20042486A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sung Kyung Kim, DDS
• Sunghoon Kim, M.D.
• Yoonsoo Kim
• Melissa Dawn Kimberlin, APRN
• Kimberly Curry
• Kimberly Montgomery PHD HSPP LLC
• Kimberly Parkhill Counseling
• Ashley Joyce Kimble
• Trevor Kimm, DC
• Linda Kay Kimmel, ACNP

• Psychologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.