Individual provider Active NPI

Kelsey Ann Martin, DO

  • Psychiatry Physician
  • Troy, NY
National Provider Identifier
1700249414
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
300326 Issued in NY
Practice address
2215 Burdett Ave
Troy, NY 12180-2466
Phone
(518) 271-3554
Fax
(518) 271-3682
NPI assigned
Mar 30, 2016
Last updated
Aug 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 300326 NY Primary

Addresses

Primary practice location

2215 Burdett Ave
Troy, NY 12180-2466

Mailing address

PO Box 14890
Albany, NY 12212-4890

Other practice location 1

3 Mercycare Ln
Guilderland, NY 12084-3504
Phone (518) 452-6700

Other practice location 2

64 2nd Ave
Albany, NY 12202-1240
Phone (518) 449-5170

Other practice location 3

1300 Massachusetts Ave
Troy, NY 12180-1628
Phone (518) 268-5542

Other practice location 4

2925 Hamburg St Ste 1
Schenectady, NY 12303-4349
Phone (518) 357-2909

Other practice location 5

125 High Rock Ave
Saratoga Springs, NY 12866-2307
Phone (518) 885-6884

Other practice location 6

636 New Loudon Rd
Latham, NY 12110-4002
Phone (518) 783-5381

Other practice location 7

315 S Manning Blvd Ste 6408A
Albany, NY 12208-1707
Phone (518) 525-1303

Other practice location 8

845 Central Ave Ste 107
Albany, NY 12206-1504
Phone (518) 482-2455

Other practice location 9

55 Mohawk St Ste 100
Cohoes, NY 12047-2600
Phone (518) 235-1100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200918002456 NY Practitioner - Psychiatry 0446598999 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Lake Erie College of Osteopathic Medicine, Erie, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5633

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
300326NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Hospital of Troy, New York Psychiatry CurrentSince Aug 31, 2021 Accepting new patients
Albany Medical College CurrentSince Aug 17, 2020 Accepting new patients
Albany Medical College Psychiatry CurrentSince Aug 17, 2020 Accepting new patients
St. Peter's Hospital of the City of Albany Psychiatry CurrentSince Aug 31, 2021 Accepting new patients
Albany Medical College CurrentSince Aug 17, 2020 Accepting new patients
St. Peter's Hospital of the City of Albany Psychiatry CurrentSince Aug 31, 2021 Accepting new patients
Albany Medical Center Hospital Past Accepting new patients
Albany Medical Center Hospital Past Accepting new patients

Locations

2 Clara Barton Dr
Albany, NY 12208
Phone (518) 262-5511

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

315 S Manning Blvd
Ste 6408A
Albany, NY 12208
Phone (518) 525-1301

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

64 2nd Ave
Albany, NY 12202
Phone (518) 449-5170

845 Central Ave
Ste 107
Albany, NY 12206
Phone (518) 482-2455

55 Mohawk St
Ste 100
Cohoes, NY 12047
Phone (518) 235-1100

3 Mercycare Ln
Guilderland, NY 12084
Phone (518) 452-6700

636 New Loudon Rd
Latham, NY 12110
Phone (518) 783-5381

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

279 Troy Rd
Rensselaer, NY 12144
Phone (518) 286-1922

125 High Rock Ave
Saratoga Springs, NY 12866
Phone (518) 584-9500

2925 Hamburg St
Ste 1
Schenectady, NY 12303
Phone (518) 357-2909

1300 Massachusetts Ave
Troy, NY 12180
Phone (518) 268-5000

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

Interoperability endpoints

  • Direct secure messaging: kmartin1298804@direct.trinity-health.org
  • Direct secure messaging: kmartin86509@albanymed.direct-ci.com
  • Direct secure messaging: payer.credentialing@sphp.com

Organizations & group practices 8

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1700249414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 BURDETT AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802466",
            "telephone_number": "518-271-3554",
            "fax_number": "518-271-3682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Mercycare Ln",
            "address_purpose": "LOCATION",
            "city": "Guilderland",
            "state": "NY",
            "postal_code": "120843504",
            "country_code": "US",
            "telephone_number": "518-452-6700",
            "fax_number": "518-452-6706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "64 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122021240",
            "country_code": "US",
            "telephone_number": "518-449-5170",
            "fax_number": "518-598-0493",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Massachusetts Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121801628",
            "country_code": "US",
            "telephone_number": "518-268-5542",
            "fax_number": "518-268-5647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2925 Hamburg St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123034349",
            "country_code": "US",
            "telephone_number": "518-357-2909",
            "fax_number": "518-357-2937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 High Rock Ave",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128662307",
            "country_code": "US",
            "telephone_number": "518-885-6884",
            "fax_number": "518-885-0077",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "636 New Loudon Rd",
            "address_purpose": "LOCATION",
            "city": "Latham",
            "state": "NY",
            "postal_code": "121104002",
            "country_code": "US",
            "telephone_number": "518-783-5381",
            "fax_number": "518-783-0125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 S Manning Blvd Ste 6408A",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122081707",
            "country_code": "US",
            "telephone_number": "518-525-1303",
            "fax_number": "518-525-5691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "845 Central Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122061504",
            "country_code": "US",
            "telephone_number": "518-482-2455",
            "fax_number": "518-482-2458",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Mohawk St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cohoes",
            "state": "NY",
            "postal_code": "120472600",
            "country_code": "US",
            "telephone_number": "518-235-1100",
            "fax_number": "518-235-0079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KELSEY",
        "middle_name": "ANN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "300326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2215 Burdett Ave",
            "city": "Troy",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121802466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

Verify at the official NPI Registry.