Glenda Martinez PHD PA

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY7415 Issued in FL

Legal business name

GLENDA MARTINEZ PHD PA

Practice address

3408 W 84TH St
Suite 310
Hialeah, FL 33018-4939

Phone

(305) 826-6969

NPI assigned

May 10, 2007

Last updated

Nov 2, 2010By 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

Glenda Martinez, PH D PA.NPI 1366507980

Title

Licensed Psychologist

Phone

(305) 826-6969

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Glenda Martinez PH D PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Glenda Martinez, PH.D,, P.a.

  • Clinical Psychologist
  • Hialeah, FL
  • NPI 1790053155
  NPD tax ID

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.

• Glenda Martinez, PH.D.

  • Clinical Neuropsychologist
  • Hialeah, FL
  • NPI 1366507980
  Medicare reassignment NPD Authorized official
• Omar Lorenzo, PSY.D.

  • Clinical Neuropsychologist
  • Miami Lakes, FL
  • NPI 1790853166
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1922212612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 W 84TH ST STE 310",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184944",
            "telephone_number": "305-826-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 W 84TH ST",
            "address_2": "SUITE 310",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330184939",
            "telephone_number": "305-826-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDA MARTINEZ PHD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "305-826-6969",
        "authorized_official_credential": "PH D  PA."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY7415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adewale Gisanrin, D.C
• Steven Glaria, DC
• Gabriella Glaser, COTA/L
• Patricia Ann Glasper, LCSW
• August Finnegan Glass, MD
• Glenda Martinez, PH.D,, P.a.
• GLGV Rehabilitation Center
• GLGV Rehabilitation Center Corp
• Global Medical Corp
• Global Pharmacy Services, Inc.

• Clinical Neuropsychologist in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Clinical Neuropsychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.