Active NPI
Patricia Jean Marterer, PH.D.
- Clinical Psychologist
- Durham, NC
National Provider Identifier
1720302748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5929
- Practice address
- 5306 NC Highway 55 Ste 105
Durham, NC 27713-7812 - Phone
- (919) 457-1517
- Fax
- (919) 363-7697
- NPI assigned
- Mar 19, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY003260 | GA | |
| Clinical Psychologist | 103TC0700X | 5929 | NC | Primary |
Addresses
Primary practice location
5306 NC Highway 55 Ste 105
Durham, NC 27713-7812
Mailing address
2450 Vinson Hwy SE
Milledgeville, GA 31061-4881
Phone (478) 445-8015
Other practice location 1
2450 Vinson Hwy SE
Milledgeville, GA 31061-4881
Phone (478) 445-8015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 663 | LA | MD | Addiction (Substance Use Disorder) Counselor |
| PSY003260 | GA | MD | Clinical Psychologist |
| 1339 | SC | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Health and Education Partners PLLC | Current | Accepting new patients |
Locations
5306 NC Highway 55
Ste 1
Durham, NC 27713
Phone (919) 457-1517
5306 NC Highway 55
Ste 105
Durham, NC 27713
Phone (919) 457-1517
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Durham, NC
- NPI 1205237245
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1720302748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 VINSON HWY SE",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310614881",
"telephone_number": "478-445-8015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5306 NC HIGHWAY 55 STE 105",
"city": "DURHAM",
"state": "NC",
"postal_code": "277137812",
"telephone_number": "919-457-1517",
"fax_number": "919-363-7697"
}
],
"practiceLocations": [
{
"address_1": "2450 Vinson Hwy SE",
"address_purpose": "LOCATION",
"city": "Milledgeville",
"state": "GA",
"postal_code": "310614881",
"country_code": "US",
"telephone_number": "478-445-8015",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTERER",
"first_name": "PATRICIA",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-19",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY003260",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "5929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.