Martin Harold Klein, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

001909 Issued in CT

Practice address

64 Post Rd W
Westport, CT 06880-4208

Phone

(203) 915-0601

Fax

(203) 292-9845

NPI assigned

Jul 26, 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

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1986

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Martin H. Klein, PH.D.

  • Clinical Psychologist
  • Branford, CT
  • NPI 1538395470
  NPD (past) Authorized official
• SJS Associates

  • Adult Mental Health Clinic/Center
  • Westport, CT
  • NPI 1558030387
  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": "1546905600000",
    "number": "1902820871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 SAXONWOOD RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068252362",
            "telephone_number": "203-915-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 POST RD W",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804208",
            "telephone_number": "203-915-0601",
            "fax_number": "203-292-9845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Rice Ter Ste 313",
            "address_purpose": "LOCATION",
            "city": "Branford",
            "state": "CT",
            "postal_code": "064053855",
            "country_code": "US",
            "telephone_number": "203-915-0601",
            "fax_number": "203-292-9845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "MARTIN",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "001909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Etta Kiersh, CCC-SLP
• Katherine Echo Kim, D.AC, L.AC.
• Melissa Kinyon, MS, CCC, SLP
• Jane Kistler
• Adrienne Klein
• Norman R. Klein, PH.D.
• Rhonda Quain Klein, MD
• Marina Klimova, LMFT
• Jeffrey Klomberg, L.C.S.W.
• Laila Imad Knio, MD

• Clinical Psychologist in Westport, CT
• Providers in Westport, CT by specialty
• Clinical Psychologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.