Individual provider Active NPI

Kathleen Martinek

  • Behavior Analyst
  • Des Plaines, IL
National Provider Identifier
1932512712
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
320900000X Issued in IL
Practice address
2101 Oxford Rd
Des Plaines, IL 60018-1919
Phone
(847) 299-2200
Fax
(847) 299-7142
NPI assigned
Jun 9, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 320900000X IL Primary

Addresses

Primary practice location

2101 Oxford Rd
Des Plaines, IL 60018-1919

Mailing address

2101 Oxford Rd
Des Plaines, IL 60018-1919
Phone (847) 299-2200

Other names 1

  • Kate Martinek Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
320900000XILMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1932512712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 OXFORD RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600181919",
            "telephone_number": "847-299-2200",
            "fax_number": "847-299-7142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 OXFORD RD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600181919",
            "telephone_number": "847-299-2200",
            "fax_number": "847-299-7142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEK",
        "first_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-09",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "320900000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "MARTINEK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.