Active NPI
Stephanie Ann Martin, NASP, LEP
- Psychologist
- Foxborough, MA
National Provider Identifier
1952891228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LEP10000022
- Practice address
- 132 Central St
Foxborough, MA 02035-2433 - Phone
- (608) 632-1165
- Fax
- (508) 634-6984
- NPI assigned
- May 13, 2018
- Last updated
- Nov 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LEP10000022 | MA | Primary |
| Developmental Therapist | 222Q00000X | MA |
Addresses
Primary practice location
132 Central St
Foxborough, MA 02035-2433
Mailing address
132 Central St
Foxborough, MA 02035-2433
Phone (608) 632-1165
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
| License | State | Type | Specialty |
|---|---|---|---|
| LEP10000022 | MA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1952891228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 CENTRAL ST",
"city": "FOXBOROUGH",
"state": "MA",
"postal_code": "020352433",
"telephone_number": "608-632-1165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 CENTRAL ST",
"city": "FOXBOROUGH",
"state": "MA",
"postal_code": "020352433",
"telephone_number": "608-632-1165",
"fax_number": "508-634-6984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "STEPHANIE",
"middle_name": "ANN",
"credential": "NASP, LEP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-13",
"last_updated": "2023-11-09",
"certification_date": "2023-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "LEP10000022",
"primary": true
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "MA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Foxborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.