Individual provider Active NPI

Troy Charles Martinez, PSYD

  • Clinical Psychologist
  • Corpus Christi, TX
National Provider Identifier
1982635231
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
31244 Issued in TX
Practice address
4925 Everhart Rd
Suite 102
Corpus Christi, TX 78411-3954
Phone
(361) 851-8102
Fax
(361) 851-8109
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 31244 TX Primary

Addresses

Primary practice location

4925 Everhart Rd
Suite 102
Corpus Christi, TX 78411-3954

Mailing address

4925 Everhart Rd
Suite 102
Corpus Christi, TX 78411-3954
Phone (361) 851-8102

Other identifiers 1

IdentifierTypeStateIssuer
8D1105OtherTXBCBS

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)
Enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982635231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 EVERHART RD",
            "address_2": "SUITE 102",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784113954",
            "telephone_number": "361-851-8102",
            "fax_number": "361-851-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4925 EVERHART RD",
            "address_2": "SUITE 102",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784113954",
            "telephone_number": "361-851-8102",
            "fax_number": "361-851-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "TROY",
        "middle_name": "CHARLES",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "31244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8D1105",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.