Jay Martini, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY60805415 Issued in WA

Practice address

1800 112TH Ave NE Ste 260E
Bellevue, WA 98004-2937

Phone

(425) 977-0088

NPI assigned

Aug 9, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Lakeside Center for Autism, LLC

  • Speech-Language Pathologist
  • Bellevue, WA
  • NPI 1588802953
  NPD
• Ican America

  • Multi-Specialty Clinic/Center
  • Phoenix, AZ
  • NPI 1508325929
  NPD (past)

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1790200806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 CHERRYLANE PL S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981443529",
            "telephone_number": "206-745-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 112TH AVE NE STE 260E",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980042937",
            "telephone_number": "425-977-0088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1959 NE Pacific St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981950001",
            "country_code": "US",
            "telephone_number": "206-598-4317",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1307 N 45th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981036741",
            "country_code": "US",
            "telephone_number": "206-745-2121",
            "fax_number": "206-420-4841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5150 Village Park Dr SE",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980066652",
            "country_code": "US",
            "telephone_number": "425-657-0620",
            "fax_number": "425-502-8425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINI",
        "first_name": "JAY",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-09",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "WA",
            "license": "BA60804346",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY60805415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Martinez, BA, CP
• Maria Belen Martinez, PSY.D.
• Marissa Marie Martinez, MD
• Megan Lee Martinez
• Sarah Annamarie Martinez
• Izumi Y Masaki, LMT
• David Jeffery Mashburn, PH.D.
• Kathryn Elizabeth Mashni, LMP
• Anne Magnin Masin
• Cynthia Ann Mason, PHD

• Psychologist in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.