Active NPI
Darlene L Martin, CMHBCM
- Behavior Analyst
- Ardmore, OK
National Provider Identifier
1831467398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 7149
- Practice address
- 500 Park St SE
Pob 1729
Ardmore, OK 73401-8358 - Phone
- (580) 223-7555
- Fax
- (580) 226-1462
- NPI assigned
- Dec 12, 2011
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 7149 | OK | Primary |
Addresses
Primary practice location
500 Park St SE
Pob 1729
Ardmore, OK 73401-8358
Mailing address
500 Park St SE
Pob 1729
Ardmore, OK 73401-8358
Phone (580) 223-7555
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7149 | OK | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323648000000",
"number": "1831467398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 PARK ST SE",
"address_2": "POB 1729",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734018358",
"telephone_number": "580-223-7555",
"fax_number": "580-226-1462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 PARK ST SE",
"address_2": "POB 1729",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734018358",
"telephone_number": "580-223-7555",
"fax_number": "580-226-1462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "DARLENE",
"middle_name": "L",
"credential": "CMHBCM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-12",
"last_updated": "2011-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "OK",
"license": "7149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.