Individual provider Active NPI

Heather Martens, PHD

  • Clinical Psychologist
  • Encinitas, CA
National Provider Identifier
1801232905
Registry record updated Feb 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY25605 Issued in CA
Practice address
533 2ND St
Suite 114
Encinitas, CA 92024-3558
Phone
(760) 470-5731
NPI assigned
May 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2025

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual & Developmental Disabilities Psychologist 103TM1800X PSY25605 CA
Group Psychotherapy Psychologist 103TP2701X PSY25605 CA
Rehabilitation Psychologist 103TR0400X PSY25605 CA
Clinical Psychologist 103TC0700X PSY25605 CA Primary
Clinical Child & Adolescent Psychologist 103TC2200X PSY25605 CA
Forensic Psychologist 103TF0200X
Health Psychologist 103TH0004X PSY25605 CA
Clinical Neuropsychologist 103G00000X PSY25605 CA
Cognitive & Behavioral Psychologist 103TB0200X PSY25605 CA

Addresses

Primary practice location

533 2ND St
Suite 114
Encinitas, CA 92024-3558

Mailing address

533 2ND St
Suite 114
Encinitas, CA 92024-3558
Phone (760) 470-5731

Other practice location 1

2424 Vista Way 120
Oceanside, CA 92054-6178
Phone (760) 470-5731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150804005069 CA Practitioner - Clinical Psychologist 2062726029 Reassigns benefits to 1 organization
I20250113002523 DC Practitioner - Clinical Psychologist 2062726029

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

533 2ND St
Encinitas, CA 92024-3558
Phone (760) 470-5731

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY25605CAMDClinical Child & Adolescent Psychologist

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740268800000",
    "number": "1801232905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 2ND ST",
            "address_2": "SUITE 114",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243558",
            "telephone_number": "760-470-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 2ND ST",
            "address_2": "SUITE 114",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243558",
            "telephone_number": "760-470-5731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2424 VISTA WAY 120",
            "address_purpose": "LOCATION",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546178",
            "country_code": "US",
            "telephone_number": "760-470-5731",
            "fax_number": "760-436-3521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTENS",
        "first_name": "HEATHER",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-15",
        "last_updated": "2025-02-23",
        "certification_date": "2025-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "CA",
            "license": "PSY25605",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "CA",
            "license": "PSY25605",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "CA",
            "license": "PSY25605",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY25605",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY25605",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "CA",
            "license": "PSY25605",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY25605",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY25605",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.