Individual provider Active NPI

Diane C Marti, PH.D

  • Psychologist
  • Lincoln, NE
National Provider Identifier
1912921560
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
766 Issued in NE
Practice address
3801 Union Dr.
Ste 206
Lincoln, NE 68516-6652
Phone
(402) 489-2218
Fax
(402) 489-3666
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2270 NE
Psychologist 103T00000X 766 NE Primary

Addresses

Primary practice location

3801 Union Dr.
Ste 206
Lincoln, NE 68516-6652

Mailing address

3801 Union Dr.
Ste 206
Lincoln, NE 68516-6652
Phone (402) 489-2218

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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

Enrollment IDStateProvider typePAC IDDetails
I20110208000923 NE Practitioner - Clinical Psychologist 3476733478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Marti Mental Health Services IncGroup PAC ID 0345546578, 2 clinicians

Practice addresses (Care Compare)

4435 O St
Suite 211
Lincoln, NE 68510-1864
Phone (402) 489-2218

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
766NEMDOccupational Therapist

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438128000000",
    "number": "1912921560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 UNION DR.",
            "address_2": "STE 206",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166652",
            "telephone_number": "402-489-2218",
            "fax_number": "402-489-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 UNION DR.",
            "address_2": "STE 206",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166652",
            "telephone_number": "402-489-2218",
            "fax_number": "402-489-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTI",
        "first_name": "DIANE",
        "middle_name": "C",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2015-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2270",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NE",
            "license": "766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.