Active NPI
Danielline Martinez, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Yonkers, NY
National Provider Identifier
1982003356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 402086
- Practice address
- 127 S Broadway
Yonkers, NY 10701-4006 - Phone
- (914) 378-7000
- NPI assigned
- Aug 21, 2014
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 402086 | NY | Primary |
| Registered Nurse | 163W00000X | 688440 | NY |
Addresses
Primary practice location
127 S Broadway
Yonkers, NY 10701-4006
Mailing address
127 S Broadway
Yonkers, NY 10701-4006
Phone (914) 378-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 688440 | NY | MD | Registered Nurse |
| 402086 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Institute for Family Health | Current | Accepting new patients | |
| The Institute for Family Health | Current | Accepting new patients |
Locations
279 Main St
Ste 204
New Paltz, NY 12561
Phone (845) 255-3046
279 Main St
Ste 101
New Paltz, NY 12561
Phone (845) 255-2930
1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200
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.
-
dba Institute for Family Health
- Family Medicine Physician
- New York, NY
- NPI 1295729408
-
- Family Medicine Physician
- New York, NY
- NPI 1972877017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475625600000",
"number": "1982003356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 S BROADWAY",
"city": "YONKERS",
"state": "NY",
"postal_code": "107014006",
"telephone_number": "914-378-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 S BROADWAY",
"city": "YONKERS",
"state": "NY",
"postal_code": "107014006",
"telephone_number": "914-378-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "DANIELLINE",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-21",
"last_updated": "2016-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "402086",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "688440",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.