Individual provider Active NPI

Delaina Martinez, L.E.P.

  • Rehabilitation Practitioner
  • Santa Clarita, CA
National Provider Identifier
1972189264
Registry record updated Mar 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
License
2771 Issued in CA
Practice address
17702 Sierra Hwy
Santa Clarita, CA 91351-1635
Phone
(661) 495-0115
NPI assigned
Mar 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2771
Adult Development & Aging Psychologist 103TA0700X
Cognitive & Behavioral Psychologist 103TB0200X 2771
Clinical Child & Adolescent Psychologist 103TC2200X 2771 CA
Intellectual & Developmental Disabilities Psychologist 103TM1800X
School Psychologist 103TS0200X
Rehabilitation Practitioner 225400000X 2771 CA Primary

Addresses

Primary practice location

17702 Sierra Hwy
Santa Clarita, CA 91351-1635

Mailing address

8704 S Sepulveda Blvd # 1071
Westchester, CA 90045-4004
Phone (661) 495-0115

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL docdm.psych@gmail.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20210929002066 CA Practitioner - Clinical Psychologist 3870990153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pure Autism Counseling Center IncGroup PAC ID 4284967167, 11 clinicians

Practice addresses (Care Compare)

17702 Sierra Hwy
Santa Clarita, CA 91351-1635
Phone (888) 770-5222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2771CAMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Autism Counseling Center Inc CurrentSince Jun 26, 2021 Accepting new patients

Locations

17702 Sierra Hwy
Santa Clarita, CA 91351
Phone (888) 770-5222

17728 Sierra Hwy
Santa Clarita, CA 91351
Phone (661) 360-7730

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19641/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772841600000",
    "number": "1972189264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8704 S SEPULVEDA BLVD # 1071",
            "city": "WESTCHESTER",
            "state": "CA",
            "postal_code": "900454004",
            "telephone_number": "661-495-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17702 SIERRA HWY",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913511635",
            "telephone_number": "661-495-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "DELAINA",
        "name_prefix": "Dr.",
        "credential": "L.E.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2026-03-07",
        "certification_date": "2026-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": "2771",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": "2771",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "2771",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "CA",
            "license": "2771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "docdm.psych@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "exchange of information",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "patient information",
            "address_1": "2217 W 79th St",
            "city": "Inglewood",
            "state": "CA",
            "country_code": "US",
            "postal_code": "903051131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.