Active NPI
Marian Fowers Martin, PHD
- Psychologist
- Billings, MT
National Provider Identifier
1831293844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 53
- Practice address
- 1018 North 30TH Street
Billings, MT 59101-0732 - Phone
- (406) 252-0011
- Fax
- (406) 245-7074
- NPI assigned
- Sep 11, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 53 | MT | Primary |
Addresses
Primary practice location
1018 North 30TH Street
Billings, MT 59101-0732
Mailing address
1018 North 30TH Street
Billings, MT 59101-0732
Phone (406) 252-0011
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 492557 | Medicaid | MT | |
| 51330 | Other | MT | BLUE CROSS BLUE SHIELD |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53 | MT | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482969600000",
"number": "1831293844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1018 NORTH 30TH STREET",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591010732",
"telephone_number": "406-252-0011",
"fax_number": "406-245-7074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1018 NORTH 30TH STREET",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591010732",
"telephone_number": "406-252-0011",
"fax_number": "406-245-7074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "MARIAN",
"middle_name": "FOWERS",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-11",
"last_updated": "2016-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MT",
"license": "53",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "492557",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51330",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.