Organization Active NPI

Inspired and Free

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Philadelphia, PA
National Provider Identifier
1972273431
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
INSPIRED AND FREE
Practice address
1300 S Columbus Blvd Ste 1044
Philadelphia, PA 19147-5529
Phone
(484) 301-0870
NPI assigned
Sep 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Authorized official

Name
Dr. Dalesa Martinez, PHD.
Title
Owner
Phone
(484) 301-0870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1300 S Columbus Blvd Ste 1044
Philadelphia, PA 19147-5529

Mailing address

1111 Jefferson Ave
Woodlyn, PA 19094-1313
Phone (215) 459-1613

Other identifiers 1

IdentifierTypeStateIssuer
1457980187OtherPANPI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@dalesamartinez.com Direct

National Provider Directory

National Provider Directory

Locations

1300 S Columbus Blvd
Ste 1044
Philadelphia, PA 19147
Phone (484) 301-0870

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1972273431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 JEFFERSON AVE",
            "city": "WOODLYN",
            "state": "PA",
            "postal_code": "190941313",
            "telephone_number": "215-459-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S COLUMBUS BLVD STE 1044",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191475529",
            "telephone_number": "484-301-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRED AND FREE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "DALESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "484-301-0870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1457980187",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@dalesamartinez.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5023 Lancaster Ave",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191314605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.