Virginia Martinez, MA, TLLP

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

6301017341 Issued in MI

Practice address

1750 S Telegraph Rd Ste 102
Bloomfield Hills, MI 48302

Phone

(248) 341-3399

NPI assigned

Feb 27, 2018

Sex

Female

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)

Not enrolled

Credentials

Master of Arts

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.

• Amy J. Trabitz, PH.D., P.C.

  • Adolescent and Children Mental Health Clinic/Center
  • Dearborn, MI
  • NPI 1821327222
  NPD (past)

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1902307630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 S TELEGRAPH RD STE 102",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483020177",
            "telephone_number": "248-341-3399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 S TELEGRAPH RD STE 102",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "48302",
            "telephone_number": "248-341-3399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23810 Michigan Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481241830",
            "country_code": "US",
            "telephone_number": "313-359-3161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "VIRGINIA",
        "name_prefix": "Ms.",
        "credential": "MA, TLLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301017341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian G Marsh, PA-C
• Brooke Marshall
• Chanel Martin
• Dianne Martin, MA, LLP, LPC, LMSW
• Lois Ann Martin, R.N.
• Lauren Elizabeth Martinovski, DPT
• Kimberly Lynn Martus, OTR/L
• Mary K Alani MD PC
• Larry Masarsky, DC
• Sarah M Mashigan, RD

• Counseling Psychologist in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.