Vicki L Martin, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD047459L Issued in PA

Practice address

3900 City Ave Ste 111-112
Philadelphia, PA 19131-2908

Phone

(267) 275-0764

Fax

(267) 275-0764

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1952320525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 CITY AVE STE 111-112",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191312908",
            "telephone_number": "267-275-0764",
            "fax_number": "267-275-0764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 CITY AVE STE 111-112",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191312908",
            "telephone_number": "267-275-0764",
            "fax_number": "267-275-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "VICKI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD047459L",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD047459L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharifa Dalia Martin, LPC
• Tawandra Lee Martin
• Thomas Martin, PT
• Ubaldo Martin, MD
• Valerie A Martin, D.O.
• Virginia Louise Martin, LSW
• William F Martin, MSW
• William Joseph Martin, DPM
• Brandon Joseph Martinazzi, MD
• Christina Martindale

• Psychiatry Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.