Active NPI
Martin David Dubin, PSY.D.
- Health Service Psychologist
- Denver, CO
National Provider Identifier
1801942297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- 723
- Practice address
- 8000 E 6TH Ave
Denver, CO 80230-7071 - Phone
- (303) 204-3258
- NPI assigned
- Jan 26, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | 723 | CO | Primary |
Addresses
Primary practice location
8000 E 6TH Ave
Denver, CO 80230-7071
Mailing address
8000 E 6TH Ave
Denver, CO 80230-7071
Phone (303) 204-3258
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07100019 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 723 | CO | MD | Health Service Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801942297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8000 E 6TH AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802307071",
"telephone_number": "303-204-3258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 E 6TH AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802307071",
"telephone_number": "303-204-3258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBIN",
"first_name": "MARTIN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "CO",
"license": "723",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07100019",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.