Active NPI
Aimee Martinez, PSYD
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1770022147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY28937
- Practice address
- 11845 W Olympic Blvd
Suite 505W
Los Angeles, CA 90064-1149 - Phone
- (310) 915-9414
- NPI assigned
- Feb 18, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY28937 | CA | Primary |
Addresses
Primary practice location
11845 W Olympic Blvd
Suite 505W
Los Angeles, CA 90064-1149
Mailing address
1400 N Sweetzer Ave
Apt 406
West Hollywood, CA 90069-1540
Phone (310) 915-9414
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY28937 | CA | MD | Clinical Psychologist |
| 28937 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487376000000",
"number": "1770022147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 N SWEETZER AVE",
"address_2": "APT 406",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900691540",
"telephone_number": "310-915-9414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11845 W OLYMPIC BLVD",
"address_2": "SUITE 505W",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641149",
"telephone_number": "310-915-9414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "AIMEE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-18",
"last_updated": "2017-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY28937",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.