Organization Active NPI

Glenda Martinez, PH.D,, P.a.

  • Clinical Psychologist
  • Hialeah, FL
National Provider Identifier
1790053155
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
GLENDA MARTINEZ, PH.D,, P.A.
Practice address
3408 W 84TH St Ste 310
Hialeah, FL 33018-4944
Phone
(305) 826-6969
NPI assigned
Dec 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Dr. Glenda Martinez, PH.D.
Title
Psychologist
Phone
(305) 826-6969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

3408 W 84TH St Ste 310
Hialeah, FL 33018-4944

Mailing address

3408 W 84TH St Ste 310
Hialeah, FL 33018-4944
Phone (305) 826-6969

National Provider Directory

National Provider Directory
Tax ID family
Glenda Martinez PH D PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1790053155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 W 84TH ST STE 310",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184944",
            "telephone_number": "305-826-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 W 84TH ST STE 310",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184944",
            "telephone_number": "305-826-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDA MARTINEZ, PH.D,, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "305-826-6969",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.