Rebecca Martinez Psychology Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

REBECCA MARTINEZ PSYCHOLOGY INC

Practice address

205 N College Ave
Suite #210B
Bloomington, IN 47404-3955

Phone

(812) 807-1110

NPI assigned

May 7, 2021

Last updated

Jul 8, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rebecca Martinez Reid, PHD

Title

Psychologist

Phone

(812) 727-8877

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Laura Dawn Blahous-Mangin, LCSW ACSW

  • Clinical Social Worker
  • Bloomington, IN
  • NPI 1851468805
  NPD (past)
• Teresa R. Foster, L.C.S.W.

  • Clinical Social Worker
  • Bloomington, IN
  • NPI 1477952109
  NPD (past)

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1912581752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 N COLLEGE AVE STE 210B",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043955",
            "telephone_number": "812-727-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N COLLEGE AVE",
            "address_2": "SUITE #210B",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043955",
            "telephone_number": "812-807-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA MARTINEZ PSYCHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2021-07-08",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "MARTINEZ",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "812-727-8877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Files",
            "address_1": "885 S College Mall Rd Ste 325",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474016301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Erin Reagan, LMHC
• Joni Reagan, LCSW
• Hannah Rebarchik, RBT
• Rebecca R Taylor (UnVeiled Health)
• Emily Record, RBT
• Recovery Works of Bloomington, LLC
• Samantha Jo Rector, WHNP
• Red Tire Cab LLC (Red Tire Taxi)

• Community/Behavioral Health Agency in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Community/Behavioral Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; 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.