Amy Joy Marty, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2008015694 Issued in MO

Practice address

102 Compass Point Dr
Saint Charles, MO 63301

Phone

(636) 946-4000

Fax

(636) 946-7925

NPI assigned

Jan 14, 2008

Last updated

Jun 26, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Clinical Psychologist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Louis Behavioral Health Services LLCGroup PAC ID 9830336288, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• St. Louis Behavioral Health Services, LLC

  • Psychiatry Physician
  • Bridgeton, MO
  • NPI 1487994877
  Medicare reassignment Care Compare group NPD
• Susic Psychological Consulting, PC

  dba Senior Care Psychological Consulting

  • Clinical Psychologist
  • Saint Charles, MO
  • NPI 1871769406
  Medicare reassignment NPD
• Meier Clinics of Missouri, Inc

  dba Meier Clinics

  • Clinical Psychologist
  • Edwardsville, IL
  • NPI 1588604631
  NPD (past)

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1982880548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COMMUNITY",
            "city": "CLINTON",
            "state": "MO",
            "postal_code": "647358804",
            "telephone_number": "660-885-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 COMPASS POINT DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "63301",
            "telephone_number": "636-946-4000",
            "fax_number": "636-946-7925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Country Club Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Charles",
            "state": "MO",
            "postal_code": "633033309",
            "country_code": "US",
            "telephone_number": "626-840-3119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTY",
        "first_name": "AMY",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2008015694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley B Martin, M.D.
• Theresa Anne Martin, R.N.
• Marcimiliana Martinez
• Mia Martinez
• Roseann Martinez
• Michelle Ann Mashinter, D.C.
• Joan H. Mass, MD
• Anthony Massarella, BC- H.I.S.
• Irim A. Massay, MD
• Brandi Lynn Mathis, COTA/L

• Clinical Psychologist in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.