Deborah a. Martin, PH.D., Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

E007500 Issued in OH

Legal business name

DEBORAH A. MARTIN, PH.D., INC.

Practice address

2460 Fairmount Blvd
Suite 315
Cleveland Heights, OH 44106-3171

Phone

(216) 647-8657

NPI assigned

Mar 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Deborah A A. Martin-Grissom, PH.D.

Title

Owner and Ceo

Phone

(216) 647-8657

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Deborah A Martin-Grissom, PH.D., PCC-S

  • Professional Counselor
  • Cleveland, OH
  • NPI 1215265046
  NPD (past)

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1780982298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4887 LEE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441283846",
            "telephone_number": "216-647-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 FAIRMOUNT BLVD",
            "address_2": "SUITE 315",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441063171",
            "telephone_number": "216-647-8657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH A. MARTIN, PH.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "A. MARTIN-GRISSOM",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER AND CEO",
        "authorized_official_telephone_number": "216-647-8657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "OH",
            "license": "E007500",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E007500",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E007500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOLE PROPRIETOR NPI",
            "identifier": "1215265046",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyshaun M Davis
• Danny Joseph Day, P.A.-C.
• Edward Dea, R.AC., L.AC.
• Thomas Aaron Debardelaben Jr., LPN
• Tiesha Sharease Debardelaben, LPN
• Ariel Defreeze, LISW-S
• Norman Deloach Jr., D.D.S., M.S.
• Catherine D Demmings
• Andrea Renee Dempsey, LPN
• Ganesh Devendra

• Professional Counselor in Cleveland Heights, OH
• Providers in Cleveland Heights, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.