Judy K. Martin, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0424889 Issued in KS

Practice address

8201 Mission Rd
Suite 261
Prairie Village, KS 66208-5212

Phone

(913) 649-0923

NPI assigned

Feb 16, 2008

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2010 through Jul 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mental Health Partners, PA

  • Psychiatry Physician
  • Prairie Village, KS
  • NPI 1528131976
  NPD (past)

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

{
    "created_epoch": "1203120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203120000000",
    "number": "1881862407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 MISSION RD",
            "address_2": "SUITE 261",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662085212",
            "telephone_number": "913-649-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 MISSION RD",
            "address_2": "SUITE 261",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662085212",
            "telephone_number": "913-649-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JUDY",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-16",
        "last_updated": "2008-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "0424889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Mann
• Tracie Brooke Mann, M.A., BCBA
• Kaylee Grace Marler, OTD
• Tyson E Marrs, D.D.S.
• Patricia L Martell, LCSW
• Riley Elizabeth Martin, CF-SLP
• Gerald Lee Martincich, D.D.S.
• Nicholas Martinez, RBT
• Catherine Kilty Marx, RBT
• Mary J. Yanics, PH.D., LLC

• Psychiatry Physician in Prairie Village, KS
• Providers in Prairie Village, KS by specialty
• Psychiatry Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.