Rebecca Martin, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

021583 Issued in NY

Practice address

10 Maxwell Dr Ste 205
Clifton Park, NY 12065-2933

Phone

(518) 288-7156

Fax

(518) 309-7838

NPI assigned

May 23, 2016

Last updated

Jan 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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 NY

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Martin Neuropsychology PLLC

  • Clinical Neuropsychologist
  • Clifton Park, NY
  • NPI 1760205645
  Medicare reassignment NPD Authorized official
• R&M Neuropsychology, PLLC

  • Clinical Neuropsychologist
  • Clifton Park, NY
  • NPI 1497330740
  NPD Authorized official

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1922455567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MAXWELL DR STE 205",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120652933",
            "telephone_number": "518-288-7156",
            "fax_number": "518-309-7838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MAXWELL DR STE 205",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120652933",
            "telephone_number": "518-288-7156",
            "fax_number": "518-309-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "021583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonio V.R. Marotta, D.C.
• Alex G. Marsal, PH.D.
• Martin Neuropsychology PLLC
• Jessica Lynn Martin, PHD
• Kimberly Susan Martin, LCSW-R
• Martins Foods of South Burlington LLC (Hannaford Food and Drug)
• Mary E Vanalstyne Nurse Practitioner in Family Health PC
• Kayla Marie Marzello
• Douglas E Mason, DPM
• Layla Massoudi, PHARM.D

• Clinical Neuropsychologist in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Clinical Neuropsychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.