Marianne Bernadette Martino, PSY. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS 006283-L Issued in PA

Practice address

101 W Chester Pike
Havertown, PA 19083-5315

Phone

(610) 544-2110

Fax

(610) 604-9510

NPI assigned

Jul 26, 2006

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Optum Behavioral Care of Connecticut, P.C.

  • Counseling Psychologist
  • Philadelphia, PA
  • NPI 1811778988
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891719605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1489 BALTIMORE PIKE",
            "address_2": "BLDG. 200 SUITE 250",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643958",
            "telephone_number": "610-544-2110",
            "fax_number": "610-604-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W CHESTER PIKE",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190835315",
            "telephone_number": "610-544-2110",
            "fax_number": "610-604-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINO",
        "first_name": "MARIANNE",
        "middle_name": "BERNADETTE",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS 006283-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georges Paul Martin, D.M.D.
• Jeffrey Ulmer Martin, D.M.D.
• Kenneth Randolph Martin, D.M.D.
• Robyn Martin, MS
• Gina Marie Martinelli Noble, MPT, ATC
• Amberleigh Martucci
• Melissa Matamoros, B.A
• Lisa Jo Matherson, CRNP
• Dana Matheson
• Marielle Martino Mathews, PSYD

• Clinical Psychologist in Havertown, PA
• Providers in Havertown, PA by specialty
• Clinical 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.