Don V Martin LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

5695 Issued in OH

Legal business name

DON V MARTIN LLC

Practice address

8472 Lake Shore Blvd
Mentor, OH 44060-1515

Phone

(330) 518-8676

Fax

(724) 371-0586

NPI assigned

Feb 27, 2008

Organization subpart

No

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

Authorized official

Name

Donald V Martin, PHD

Title

Owner

Phone

(330) 518-8676

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

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

• Don Martin, PHD

  • Clinical Psychologist
  • Boardman, OH
  • NPI 1801837018
  Medicare reassignment NPD
• Magy Martin, ED D

  • Clinical Psychologist
  • Beaver, PA
  • NPI 1477699908
  NPD (past)

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1710156435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 327",
            "city": "GIRARD",
            "state": "OH",
            "postal_code": "444200327",
            "telephone_number": "330-518-8676",
            "fax_number": "440-257-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8472 LAKE SHORE BLVD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440601515",
            "telephone_number": "330-518-8676",
            "fax_number": "724-371-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DON V MARTIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-518-8676",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OH",
            "license": "5695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordon M Distad, LPCC
• Lisa Kay Ditzel, LSW
• Alexandria Divita, M.ED, LPC
• Joy Dodak
• Nathan Doles
• Alyson M Dondorfer, PT
• Maggie Nicole Donoghue
• Tamara Sharee Dorroh
• Mary E Dorsey
• Taylor Dotson, LSW

• Psychologist in Mentor, OH
• Providers in Mentor, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.