Martin Denn, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PYS23480 Issued in CA

Practice address

738 33Rd St
Manhattan Beach, CA 90266-3455

Phone

(310) 545-9412

Fax

(310) 545-6339

NPI assigned

Jun 17, 2011

Sex

Male

Sole proprietor

Yes

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 CA

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, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sud Specialty Group - CaGroup PAC ID 9537534177, 519 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 and National Provider Directory roles.

• Sud Specialty Group - Ca

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Santa Clara, CA
  • NPI 1972138238
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308268800000",
    "number": "1770878795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 33RD ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902663455",
            "telephone_number": "310-874-9493",
            "fax_number": "310-545-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 33RD ST",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902663455",
            "telephone_number": "310-545-9412",
            "fax_number": "310-545-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENN",
        "first_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-17",
        "last_updated": "2011-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PYS23480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Debuayan
• Delta Healthcare Providers
• Nicole Demasi Malcher, MS, RD, CDCES
• Ruth C Demonteverde, M.D.
• Denise Chyette, Physical Therapist, Inc.
• Sinan Denny-Brown, M.D.
• Dentistry on the Blvd.
• Nina Desai, M.D
• Judy Jacobs Deutsch, MFT
• Sonia Dhairyawan-Carvalho, MD

• Psychologist in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.