Organization Active NPI

Melody B. Martini, PSYD., PC

  • Clinical Psychologist
  • Beaufort, SC
National Provider Identifier
1881802239
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
000826 Issued in SC
Legal business name
MELODY B. MARTINI, PSYD., PC
Practice address
2201 Boundary St
Suite 307
Beaufort, SC 29902-3860
Phone
(843) 522-1552
Fax
(843) 522-8823
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Melody B. Martini, PSYD
Title
Owner
Phone
(843) 522-1552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 000826 SC Primary

Addresses

Primary practice location

2201 Boundary St
Suite 307
Beaufort, SC 29902-3860

Mailing address

2201 Boundary St
Suite 307
Beaufort, SC 29902-3860
Phone (843) 522-1552

National Provider Directory

National Provider Directory

Locations

2201 Boundary St
Ste 307
Beaufort, SC 29902
Phone (843) 522-1552

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881802239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 BOUNDARY ST",
            "address_2": "SUITE 307",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299023860",
            "telephone_number": "843-522-1552",
            "fax_number": "843-522-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 BOUNDARY ST",
            "address_2": "SUITE 307",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299023860",
            "telephone_number": "843-522-1552",
            "fax_number": "843-522-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELODY B. MARTINI, PSYD., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINI",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-522-1552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "000826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.