Active NPI
Raymond D Martorano, PHD
- Clinical Psychologist
- Louisville, KY
National Provider Identifier
1700974540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 129056
- Practice address
- 8007 Lyndon Centre Way Ste 101
Louisville, KY 40222-3608 - Phone
- (502) 690-8024
- Fax
- (502) 690-8090
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 167029 | KY | |
| Clinical Psychologist | 103TC0700X | 129056 | KY | Primary |
Addresses
Primary practice location
8007 Lyndon Centre Way Ste 101
Louisville, KY 40222-3608
Mailing address
8007 Lyndon Centre Way
Suite # 101
Louisville, KY 40222
Phone (502) 690-8024
Other practice location 1
120 Prosperous Pl Ste 207
Lexington, KY 40509-1866
Phone (502) 735-1924
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 167029 | KY | MD | Addiction (Substance Use Disorder) Psychologist |
| 129056 | KY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Che Behavioral Health Services of Florida, P.a. | Clinical | Current | Accepting new patients |
| Keith Haas, LCSW, PLLC | Past | Accepting new patients |
Locations
6750 N Andrews Ave
Ste 200
Lauderdale Lakes, FL 33309
Phone (718) 408-5477
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Fort Lauderdale, FL
- NPI 1932721206
Clinical
-
- Clinical Social Worker
- Lexington, KY
- NPI 1891177325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685145600000",
"number": "1700974540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8007 LYNDON CENTRE WAY",
"address_2": "SUITE # 101",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40222",
"telephone_number": "502-690-8024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8007 LYNDON CENTRE WAY STE 101",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402223608",
"telephone_number": "502-690-8024",
"fax_number": "502-690-8090"
}
],
"practiceLocations": [
{
"address_1": "120 Prosperous Pl Ste 207",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405091866",
"country_code": "US",
"telephone_number": "502-735-1924",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTORANO",
"first_name": "RAYMOND",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2023-05-27",
"certification_date": "2023-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "KY",
"license": "167029",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "129056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.