Martin Dembitzer, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS003085L Issued in PA

Practice address

1088 W Baltimore Pike
Suite 2205
Media, PA 19063-5146

Phone

(610) 744-2960

Fax

(610) 744-2420

NPI assigned

Oct 31, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871679779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 W BALTIMORE PIKE",
            "address_2": "SUITE 2205",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635146",
            "telephone_number": "610-744-2960",
            "fax_number": "610-744-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 W BALTIMORE PIKE",
            "address_2": "SUITE 2205",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190635146",
            "telephone_number": "610-744-2960",
            "fax_number": "610-744-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMBITZER",
        "first_name": "MARTIN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS003085L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Media, PA
• Providers in Media, PA by specialty
• Psychologist in Pennsylvania

• 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.

Verify at the official NPI Registry.