Individual provider Active NPI

Sabrina M Martin, PSYD

  • Psychologist
  • Clearwater, FL
National Provider Identifier
1972976157
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY9390 Issued in FL
Practice address
2454 N McMullen Booth Rd
Ste 700 (725)
Clearwater, FL 33759-1353
Phone
(727) 755-1851
Fax
(727) 493-9155
NPI assigned
Nov 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY9390 FL Primary

Addresses

Primary practice location

2454 N McMullen Booth Rd
Ste 700 (725)
Clearwater, FL 33759-1353

Mailing address

2565 Deer Run E
Clearwater, FL 33761
Phone (419) 509-9023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160111000723 FL Practitioner - Clinical Psychologist 6305148123 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2565 Deer Run E
Clearwater, FL 33761-3902
Phone (727) 597-5683

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY9390FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Martin Psychological Services & Consulting, LLC CurrentSince Mar 1, 2020 Accepting new patients
Achieve Wellness Group LLC CurrentSince Nov 1, 2015 Accepting new patients

Locations

2454 N McMullen Booth Rd
Ste 401
Clearwater, FL 33759
Phone (727) 249-3037

13039 W Linebaugh Ave
Ste 101
Tampa, FL 33626
Phone (352) 515-6914

Organizations & group practices 2

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": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1972976157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 DEER RUN E",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33761",
            "telephone_number": "419-509-9023",
            "fax_number": "727-493-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 N MCMULLEN BOOTH RD",
            "address_2": "STE 700 (725)",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591353",
            "telephone_number": "727-755-1851",
            "fax_number": "727-493-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SABRINA",
        "middle_name": "M",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-10",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY9390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.