Martina Hernandez Madrid, PSY. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

03345 Issued in KS

Practice address

1660 Feehanville Dr Ste 400
Mount Prospect, IL 60056-6036

Phone

(847) 981-9200

NPI assigned

Sep 20, 2024

Last updated

Sep 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Barnes and Klatt PCGroup PAC ID 1052369865, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Barnes & Klatt PC

  • Clinical Psychologist
  • Mount Prospect, IL
  • NPI 1659425361
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1740007830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1033 CHARLELA LN APT 206",
            "city": "ELK GROVE VLG",
            "state": "IL",
            "postal_code": "600073241",
            "telephone_number": "432-212-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 FEEHANVILLE DR STE 400",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600566036",
            "telephone_number": "847-981-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRID",
        "first_name": "MARTINA",
        "middle_name": "HERNANDEZ",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "03345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LV Dentistry, PC (Mount Prospect Dental Care)
• Ashley Machanickal
• Darek Gregory Maciasz, R.PH
• Eileen Marie Mackenzie, LCSW
• Aneta Magdalena Maczuga, PA-C
• Joshua Sean Magariel, LCSW
• Christian Joseph Maggio
• Holly L Magnani, MS CCC-SLP
• Susan Ann Mahoney, M.A. CCC-SLP/L
• Maks Dental Partners PLLC

• Clinical Psychologist in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.